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General NPI Number Information
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NPI Number | 1285547398
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Entity Type | Organization
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Legal Business Name | CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 8517 LOCH RAVEN BLVD STE 3
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City | TOWSON
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State | MD
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Zip | 21286-2302
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Country | US
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Telephone | 443-495-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 8517 LOCH RAVEN BLVD STE 3
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City | TOWSON
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State | MD
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Zip | 21286-2302
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Country | US
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Telephone | 443-495-2965
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TEMI WELLS
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Credential | ADT
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Telephone | 443-495-2965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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