OrganizationActive
Ideal Option, PLLC
NPI 1356876502 · Addiction Medicine (Preventive Medicine) Physician · Catonsville, MD
Provider details
- NPI number
- 1356876502
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Dawson, Cmo(509) 222-1275
- License
- D0082182 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
516 N Rolling Rd
# 301
Catonsville, MD 21228-4140
Phone: (509) 222-1275
Fax: (509) 491-3031
Approximate (ZIP-level) locationGet directions
Mailing address
500 Sw 7th St Ste A205
Renton, WA 98057-2983
Registry dates
- Enumerated
- 2017-04-25
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.