Organization
CHESAPEAKE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JEAN KATZ (SOLE MEMBER)
(410) 275-8156
Entity
Organization
Contact information
Practice address
251 S BOHEMIA AVE, CECILTON, MD 21913-1010
(410) 275-8156
(877) 433-6830
Mailing address
79 PORT HERMAN RD, CHESAPEAKE CITY, MD 21915-1633
(410) 275-8156
(877) 433-6830
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
XK8322339
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
H0056426
MD
363LF0000X
Family Nurse Practitioner
R177831
MD
Other
Enumeration date
09/28/2016
Last updated
12/14/2016
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