Provider Demographics
NPI:1043755721
Name:PARK HEIGHTS HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:PARK HEIGHTS HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-929-0222
Mailing Address - Street 1:600 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 600C
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5104
Mailing Address - Country:US
Mailing Address - Phone:410-929-0222
Mailing Address - Fax:866-530-3436
Practice Address - Street 1:5260 PARK HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5141
Practice Address - Country:US
Practice Address - Phone:410-929-0222
Practice Address - Fax:866-530-3436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder