{
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"OrgName": "CHESAPEAKE TREATMENT CENTERS",
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"FirstLineMailingAddress": "9701 KEYSVILLE RD # MD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EMMITSBURG",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21727-8619",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-447-2361",
"MailingAddressFaxNumber": "301-447-3673",
"FirstLinePracticeLocationAddress": "9700 OLD HARFORD RD # MD",
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"PracticeLocationAddressCityName": "PARKVILLE",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-663-8500",
"PracticeLocationAddressFaxNumber": "410-663-0805",
"EnumerationDate": "05/31/2006",
"LastUpdateDate": "10/24/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOLEK",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "240-401-3062",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "323P00000X",
"TaxonomyName": "Psychiatric Residential Treatment Facility",
"LicenseNumber": "03077",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}