Provider Demographics
NPI:1508505769
Name:KINDRED TREATMENT CENTER
Entity Type:Organization
Organization Name:KINDRED TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNDER/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOWER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:444-683-0069
Mailing Address - Street 1:2855 COUNTRY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-2091
Mailing Address - Country:US
Mailing Address - Phone:443-683-0069
Mailing Address - Fax:
Practice Address - Street 1:3000 MANCHESTER RD STE B
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-1850
Practice Address - Country:US
Practice Address - Phone:410-861-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty