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INNOVATIVE TREATMENT CENTERS
NPI 1730892035
Family Medicine - Addiction Medicine in Glen Burnie, MD

Active since January 02, 2023
325 HOSPITAL DR STE 106, GLEN BURNIE, MD 21061(917) 873-5716 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Feb 14, 2023, Jan 2, 2023 (3 updates tracked since 2023).

About Innovative Treatment Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE TREATMENT CENTERS (NPI 1730892035) is a healthcare organization registered as an addiction medicine in Glen Burnie, Maryland and active in the NPI registry since January 2023. The organization lists Travis A Baird, Owner, as its authorized official.

NPPES Registry Identity

NPI1730892035
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameINNOVATIVE TREATMENT CENTERS
Location Address325 HOSPITAL DR STE 106Glen Burnie, MD 21061-5806
Mailing Address325 Hospital Dr Ste 106Glen Burnie, MD 21061-5806 · (917) 873-5716
Phone(917) 873-5716
Organization SubpartNo
Authorized OfficialTravis A BairdOwner · (443) 430-2998
Enumeration DateJanuary 2, 2023
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1730892035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
325 HOSPITAL DR STE 106, Glen Burnie, MD 21061
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Other Identifiers 1

Medicaid699298601MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIERRA N VAUGHTERS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
NAVNEET KAUR GILL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
KAREN GARCIA
Nurse Practitioner (Psychiatric/Mental Health)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
TRAVIS A BAIRD NP
Nurse Practitioner (Psychiatric/Mental Health)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
GONZALO GUERRA
Counselor (Mental Health)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
MARGARETTE LORRAINE QUIAL FERNANDEZ LGPC
Counselor (Professional)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
INNOVATIVE TREATMENT CENTERS
Clinic/Center (Mental Health (Including Community Mental Health Center))
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998
ESPERANZA BALLENILLA LCSW-C
Social Worker (Clinical)
325 HOSPITAL DR STE 106
GLEN BURNIE, MD 21061
Anne Arundel County (443) 430-2998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Treatment Centers's NPI number?

The NPI number for Innovative Treatment Centers is 1730892035. It was assigned to this organization in the NPPES registry on January 2, 2023.

Where is Innovative Treatment Centers located?

Innovative Treatment Centers is located at 325 Hospital Dr Ste 106, Glen Burnie, MD 21061. The listed phone number is (917) 873-5716.

What is Innovative Treatment Centers's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Innovative Treatment Centers was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.