Healthcare Provider Details

I. General information

NPI: 1679314876
Provider Name (Legal Business Name): HUDSON HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SOUTH BLVD
SALISBURY MD
21804-6465
US

IV. Provider business mailing address

1505 EMERSON AVE
SALISBURY MD
21801-3220
US

V. Phone/Fax

Practice location:
  • Phone: 410-219-9000
  • Fax:
Mailing address:
  • Phone: 410-219-9000
  • Fax: 410-742-7048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEAH EVANS
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 410-219-9000