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THERAPETIC WELLNESS SERVICES CORP NPI 1316532385


NPI Information

NPI: 1316532385
Provider Name: THERAPETIC WELLNESS SERVICES CORP
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
4100 HARRIS AVE
BALTIMORE, MD
ZIP 21206
Phone: (410) 665-3000
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THERAPETIC WELLNESS SERVICES CORP is a rehabilitation substance use disorder unit in Baltimore, MD. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) THERAPETIC WELLNESS SERVICES CORP NPI is 1316532385. The provider is registered as an organization entity type.

The provider's business location address is:

4100 HARRIS AVE
BALTIMORE, MD
ZIP 21206-349
Phone: (410) 665-3000
Fax: (410) 665-3001

The provider's authorized official is Arteara Watkins .
The authorized official title is Owner and has the following contact phone number (443) 934-2320.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 3/2/2021.


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
1276400000XRehabilitation, Substance Use Disorder UnitYes

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
1W19619980MEDICAIDMARYLAND

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: 11/14/2023

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.