MEDICARE: GENESIS TREATMENT SERVICES

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM2800X	Methadone Clinic

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538789136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS TREATMENT SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 194
Second Line	:
City	:	HAMPSTEAD
State	:	MD
Zip	:	21074-0194
Country	:	US
Telephone Number	:	410-751-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 W PATRICK ST
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-3962
Country	:	US
Telephone Number	:	240-831-4237
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOEL PRELL
Credential	:
Telephone Number	:	410-751-7771

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	02/02/2026

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Directions to “GENESIS TREATMENT SERVICES ” Practice Location

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