Healthcare Provider Details

I. General information

NPI: 1982954111
Provider Name (Legal Business Name): GO-GETTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W LEHIGH AVE
SALISBURY MD
21801-4146
US

IV. Provider business mailing address

PO BOX 1577 716 N. DIVISION STREET
SALISBURY MD
21802-1577
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-1822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5173
License Number StateMD

VIII. Authorized Official

Name: KRISTINE GARTLITZ
Title or Position: CLINIC DIRECTOR
Credential:
Phone: 410-341-3420