Provider Demographics
NPI:1558952747
Name:INNOVATIVE HEALTHCARE TRAINING, INC.
Entity Type:Organization
Organization Name:INNOVATIVE HEALTHCARE TRAINING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:443-410-3570
Mailing Address - Street 1:PO BOX 1161
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1114
Mailing Address - Country:US
Mailing Address - Phone:443-410-3570
Mailing Address - Fax:
Practice Address - Street 1:2 CRAIN HWY S STE 2B
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3526
Practice Address - Country:US
Practice Address - Phone:443-410-3570
Practice Address - Fax:443-410-3592
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INNOVATIVE HEALTHCARE TRAINING, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health