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NPI Code Detail

MEDICARE: ARCHWAY STATION, INC.

MEDICARE: ARCHWAY STATION, 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
1251S00000XCommunity/Behavioral Health AgencyMD

General Provider Information

NPI Number : 1902066350
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARCHWAY STATION, INC.
Provider Business Mailing Address
First Line : PO BOX 116
Second Line :
City : OAKLAND
State : MD
Zip : 21550-0116
Country : US
Telephone Number : 301-334-9126
Fax Number : 301-334-8894
Provider Business Practice Location Address
First Line : 20 E OAK ST
Second Line :
City : OAKLAND
State : MD
Zip : 21550-1802
Country : US
Telephone Number : 301-334-9126
Fax Number : 301-334-8894
Authorized Official
Title or Position : BEHAVIORAL HEALTH PROGRAM DIRECTOR
Name : STEPHANIE MOORE
Credential :
Telephone Number : 301-777-1700
Provider Enumeration Date : 06/10/2008
Last Update Date : 09/02/2025

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Directions to “ARCHWAY STATION, INC. ” Practice Location

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