Provider Type Icon

WELLS HOUSE INC NPI 1487002515


NPI Information

NPI: 1487002515
Provider Name: WELLS HOUSE, INC

Doing Business As: GALE RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
425-427 E PATRICK ST
FREDERICK, MD
ZIP 21701
Phone: (301) 739-7748
Get Directions

WELLS HOUSE, INC is a rehabilitation and substance use disorder clinic center in Frederick, MD. WELLS HOUSE, INC NPI is 1487002515. The provider is registered as an organization entity type.
The provider Is Doing Business As Gale Recovery.

The provider's business location address is:

425-427 E PATRICK ST
FREDERICK, MD
ZIP 21701-000
Phone: (301) 739-7748
Fax: (301) 739-4001

The provider's authorized official is Charles Mooneyhan .
The authorized official title is Executive Director and has the following contact phone number (301) 739-7748.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 5/31/2016.


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
1324500000XSubstance Abuse Rehabilitation Facility905783MARYLANDNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder605783MARYLANDYes

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
1532205700MEDICAIDMARYLAND
2532205701MEDICAIDMARYLAND

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.