Healthcare Provider Details

I. General information

NPI: 1699692350
Provider Name (Legal Business Name): THERAPETIC WELLNESS SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 YORK RD
BALTIMORE MD
21212-4729
US

IV. Provider business mailing address

4705 YORK RD
BALTIMORE MD
21212-4729
US

V. Phone/Fax

Practice location:
  • Phone: 410-665-3000
  • Fax: 410-665-3001
Mailing address:
  • Phone: 410-665-3000
  • Fax: 410-665-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ARTEARA J WATKINS
Title or Position: CEO
Credential:
Phone: 410-665-3000