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General NPI Number Information
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NPI Number | 1396001798
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Entity Type | Organization
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Legal Business Name | GLASS HEALTH PROGRAMS, INC.
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 821 N EUTAW ST ST SUITES 101 AND 201
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City | BALTIMORE
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State | MD
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Zip | 21201
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Country | US
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Telephone | 410-225-9185
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Fax | 410-225-7964
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Provider Business Mailing Address
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Address Line | 1720 LAKEPOINTE DR STE 117
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City | LEWISVILLE
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State | TX
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Zip | 75057-6425
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Country | US
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Telephone | 214-379-3300
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Fax | 214-853-9018
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Authorized Official
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Title or Position | VP, TREASURER
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Name | BRUCE JARVIE
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Credential |
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Telephone | 214-379-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 904787
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 905634
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License Number State | MD
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