OrganizationActive
First Base LLC
NPI 1114751385 · Children's Substance Abuse Rehabilitation Facility · Towson, MD
Provider details
- NPI number
- 1114751385
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marquita Thomas, Ceo(443) 683-7696
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
920 Providence Rd Ste 407
Towson, MD 21286-2979
Phone: (410) 705-7224
Approximate (ZIP-level) locationGet directions
Mailing address
920 Providence Rd Ste 407
Towson, MD 21286-2979
Other names (DBA / former)
- Former legal business name
- First Base LLC
- Former legal business name
- First Base LLC
Registry dates
- Enumerated
- 2024-08-29
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.