Healthcare Provider Details

I. General information

NPI: 1720437239
Provider Name (Legal Business Name): WELLS HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425-427 E PATRICK ST
FREDERICK MD
21701-5777
US

IV. Provider business mailing address

330 FREDERICK ST
HAGERSTOWN MD
21740-6112
US

V. Phone/Fax

Practice location:
  • Phone: 301-739-7748
  • Fax: 301-739-4001
Mailing address:
  • Phone: 301-739-7748
  • Fax: 301-739-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number605783
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number905783
License Number StateMD

VIII. Authorized Official

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