Healthcare Provider Details

I. General information

NPI: 1336062769
Provider Name (Legal Business Name): CRAIG'S HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10490 LITTLE PATUXENT PKWY STE 600
COLUMBIA MD
21044-4941
US

IV. Provider business mailing address

10490 LITTLE PATUXENT PKWY STE 600
COLUMBIA MD
21044-4941
US

V. Phone/Fax

Practice location:
  • Phone: 301-351-4790
  • Fax:
Mailing address:
  • Phone: 301-351-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CRAIG BARKLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 301-351-4790