Organization · NPI-2

Maryland Wellness LLC

Substance Abuse Rehabilitation Facility · Waldorf, MD

NPI number1013622273
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1013622273
Entity type
Organization (NPI-2)
Legal business name
Maryland Wellness LLC
Organization subpart
No
Enumeration date
Jan 20, 2023
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

2255 Crain Hwy Ste 106
Waldorf, MD 20601-3186

Phone 410-314-1030 · Fax 410-314-1030

Mailing address

4128 Hayward Ave # W
Baltimore, MD 21215-4340

Phone 410-314-1030 · Fax 410-314-1030

Other practice locations

4128 Hayward Ave
Baltimore, MD 21215-4340

Phone 410-314-1030 · Fax 410-314-1030

Authorized official

Sierra Burley
Credentialing Specialist
4103141030

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