Provider Demographics
NPI:1912417213
Name:INTERVENTIONS, LLC
Entity Type:Organization
Organization Name:INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-266-3040
Mailing Address - Street 1:5 OAK CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7017
Mailing Address - Country:US
Mailing Address - Phone:410-266-3040
Mailing Address - Fax:443-378-3540
Practice Address - Street 1:5 OAK CT
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7017
Practice Address - Country:US
Practice Address - Phone:410-266-3040
Practice Address - Fax:443-378-3540
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERVENTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-02
Last Update Date:2022-01-24
Deactivation Date:2019-10-22
Deactivation Code:
Reactivation Date:2019-10-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health