MEDICARE: CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1053021972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.

Provider Business Mailing Address
First Line	:	8109 HARFORD RD STE 2
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21234-9205
Country	:	US
Telephone Number	:	443-413-0468
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 LIBERTY HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21217-2027
Country	:	US
Telephone Number	:	443-413-0468
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TEMI WELLS
Credential	:
Telephone Number	:	443-960-1497

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	01/02/2024

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1235760257 — ANGEL HANDS BEHAVIORAL HEALTH
Practice Location Address:

6600 YORK RD STE 207
BALTIMORE, MD
21212-2027

Practice Phone: 410-864-8181
Practice Fax:

1194487033 — REINA CHANEL CRUMPTON LCSW-C
Practice Location Address:

1426 MERIDENE DR
BALTIMORE, MD
21239-2027

Practice Phone: 832-453-0116
Practice Fax:

1235856956 — KANDICE DEVON ANN CARTER
Practice Location Address:

111 S CATHERINE ST
BALTIMORE, MD
21223-2027

Practice Phone: 443-240-6521
Practice Fax:

Directions to “CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.