Provider Type Icon

COLLINGTON SQUARE NON PROFIT CORPORATION NPI 1124223979


NPI Information

NPI: 1124223979
Provider Name: COLLINGTON SQUARE NON PROFIT CORPORATION

Doing Business As: BERNICE E. MEADE HOUSE OF SAFE HAVEN

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
1211 N CHESTER ST
BALTIMORE, MD
ZIP 21213
Phone: (410) 342-6858
Get Directions

COLLINGTON SQUARE NON PROFIT CORPORATION is a substance abuse treatment and children substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. COLLINGTON SQUARE NON PROFIT CORPORATION NPI is 1124223979. The provider is registered as an organization entity type.
The provider Is Doing Business As Bernice E. Meade House Of Safe Haven.

The provider's business location address is:

1211 N CHESTER ST
BALTIMORE, MD
ZIP 21213-330
Phone: (410) 342-6858

The provider's authorized official is Jewel Gray .
The authorized official title is Executive Director and has the following contact phone number (410) 342-6858.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children101466MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101466OTHERMARYLANDSAMIS NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.