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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
1324500000XSubstance Abuse Rehabilitation Facility905783MD
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center605783MD

General Provider Information

NPI Number : 1720437239
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLS HOUSE, INC
Provider Business Mailing Address
First Line : 124 E BALTIMORE ST
Second Line :
City : HAGERSTOWN
State : MD
Zip : 21740-6104
Country : US
Telephone Number : 301-739-7748
Fax Number : 301-739-4001
Provider Business Practice Location Address
First Line : 427 E PATRICK ST
Second Line :
City : FREDERICK
State : MD
Zip : 21701-5777
Country : US
Telephone Number : 301-739-7748
Fax Number : 301-739-4001
Authorized Official
Title or Position : COO
Name : CHRISTINA TRENTON NEE
Credential : LCSW-C
Telephone Number : 301-739-7748
Provider Enumeration Date : 06/06/2016
Last Update Date : 11/27/2024

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Directions to “WELLS HOUSE, INC ” Practice Location

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