Healthcare Provider Details

I. General information

NPI: 1831897453
Provider Name (Legal Business Name): COMPLETE WELLNESS ADDICTION CENTER INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 CATHEDRAL ST STE 200
BALTIMORE MD
21201-4430
US

IV. Provider business mailing address

10 W MADISON ST STE 11
BALTIMORE MD
21201-2313
US

V. Phone/Fax

Practice location:
  • Phone: 443-961-3050
  • Fax: 443-957-9485
Mailing address:
  • Phone: 443-961-3050
  • Fax: 443-957-9485

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: DR. WILLIAM DURWOOD WHITTEN
Title or Position: PRESIDENT
Credential: PHD
Phone: 443-438-7863