Organization
ARCHWAY STATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MOORE (BEHAVIORAL HEALTH PROGRAM DIRECTOR)
(301) 777-1700
Entity
Organization
Contact information
Practice address
121 MEMORIAL AVE, CUMBERLAND, MD 21502-4209
(301) 724-2582
(301) 777-8020
Mailing address
121 MEMORIAL AVE, CUMBERLAND, MD 21502-4209
(301) 724-2582
(301) 777-8020
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH472
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588551501
—
MD
Enumeration date
05/01/2012
Last updated
04/20/2023
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