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NPI Code Detail

MEDICARE: WELLS HOUSE INC

MEDICARE: WELLS HOUSE INC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1083450449
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLS HOUSE INC
Provider Business Mailing Address
First Line : 330 FREDERICK ST
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-6112
Country : US
Telephone Number : 301-739-7748
Fax Number :
Provider Business Practice Location Address
First Line : 330 FREDERICK ST
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-6112
Country : US
Telephone Number : 301-739-7748
Fax Number :
Authorized Official
Title or Position : COO
Name : CHRISTINA TRENTON NEE
Credential : LCSW-C
Telephone Number : 301-739-7748
Provider Enumeration Date : 07/05/2024
Last Update Date : 11/27/2024

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Directions to “WELLS HOUSE INC ” Practice Location

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