Provider Demographics
NPI:1447567755
Name:SRR TREATMENT SOLUTIONS, LLC
Entity Type:Organization
Organization Name:SRR TREATMENT SOLUTIONS, LLC
Other - Org Name:SILVERMAN TREATMENT SOLUTIONS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERON
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:443-285-0807
Mailing Address - Street 1:8930 STANFORD BLVD STE M100
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5805
Mailing Address - Country:US
Mailing Address - Phone:443-285-0807
Mailing Address - Fax:443-285-0527
Practice Address - Street 1:8930 STANFORD BLVD STE M100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5805
Practice Address - Country:US
Practice Address - Phone:443-285-0807
Practice Address - Fax:443-285-0527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD904027261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone