Healthcare Provider Details

I. General information

NPI: 1841237963
Provider Name (Legal Business Name): CHESAPEAKE TREATMENT CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 OLD HARFORD RD # MD
PARKVILLE MD
21234-1140
US

IV. Provider business mailing address

9701 KEYSVILLE RD # MD
EMMITSBURG MD
21727-8619
US

V. Phone/Fax

Practice location:
  • Phone: 410-663-8500
  • Fax: 410-663-0805
Mailing address:
  • Phone: 301-447-2361
  • Fax: 301-447-3673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number03077
License Number StateMD

VIII. Authorized Official

Name: SARAH D BOLEK
Title or Position: ASSOCIATE DIRECTOR OF CONTRACTS MAN
Credential:
Phone: 240-401-3062