Healthcare Provider Details

I. General information

NPI: 1053492934
Provider Name (Legal Business Name): WAY STATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W PATRICK ST
FREDERICK MD
21701-6945
US

IV. Provider business mailing address

PO BOX 791888
BALTIMORE MD
21279-1888
US

V. Phone/Fax

Practice location:
  • Phone: 301-662-0099
  • Fax: 301-662-1071
Mailing address:
  • Phone: 301-662-0099
  • Fax: 443-659-2429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SUE KESSLER
Title or Position: DIRECTOR, REVENUE CYCLE
Credential:
Phone: 410-382-8111