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NPI 1083505440

NPI 1083505440 : METRO BEHAVIORAL HEALTH SERVICES, INC. : CLINTON, MD

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General NPI Number Information
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    NPI Number           |    1083505440
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    Entity Type          |    Organization 
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    Legal Business Name  |    METRO BEHAVIORAL HEALTH SERVICES, INC. 
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Dates
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    Enumeration Date     |    07/14/2025
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    7700 OLD BRANCH AVE 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-1628
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    Country              |    US
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    Telephone            |    703-629-5768
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7700 OLD BRANCH AVE 
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-1628
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MRS. NISHTA  GUPTA 
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    Credential           |    
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    Telephone            |    703-629-5768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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