Healthcare Provider Details

I. General information

NPI: 1467276428
Provider Name (Legal Business Name): WELLS HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E PATRICK ST
FREDERICK MD
21701-5998
US

IV. Provider business mailing address

330 FREDERICK ST
HAGERSTOWN MD
21740-6112
US

V. Phone/Fax

Practice location:
  • Phone: 301-739-7748
  • Fax:
Mailing address:
  • Phone: 301-739-7748
  • 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
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA TRENTON NEE
Title or Position: CHIEF OPERATING OFFICER
Credential: LCSW-C
Phone: 301-739-7748