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Heritage Treatment Center Inc — NPI 1568058196, Baltimore, MD | NPI Central

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NPI 1568058196

OrganizationActive

Heritage Treatment Center Inc

NPI 1568058196 · Addiction Medicine (Internal Medicine) Physician · Baltimore, MD

Provider details

NPI number: 1568058196
Entity type: Organization
Primary specialty: Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Tiffany Beane, Co-Owner(443) 873-9389

Specialties & taxonomies

Addiction Medicine (Internal Medicine) PhysicianPrimary207RA0401X
Allopathic & Osteopathic Physicians

Practice location

4200 Edmondson Ave Ste 102

Baltimore, MD 21229-1600

Phone: (443) 224-0655

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

4200 Edmondson Ave Ste 102

Baltimore, MD 21229-1600

Other names (DBA / former)

Doing business as: Heritage Treatment Center
Doing business as: Heritage Treatment Center
Doing business as: Heritage Treatment Center Inc
Doing business as: Heritage Treatment Center LLC

Registry dates

Enumerated: 2020-12-17
Last updated: 2025-04-04
Certified: 2025-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.