Healthcare Provider Details

I. General information

NPI: 1316879414
Provider Name (Legal Business Name): P2H WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S CHARLES ST STE 403
BALTIMORE MD
21201-3282
US

IV. Provider business mailing address

20 S CHARLES ST STE 403
BALTIMORE MD
21201-3282
US

V. Phone/Fax

Practice location:
  • Phone: 570-244-7952
  • Fax:
Mailing address:
  • Phone: 570-244-7952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY DRAKE
Title or Position: DIRECTOR
Credential:
Phone: 570-244-7952