Organization
THE W HOUSE OF HAGERSTOWN FOUNDATION, INC
Active
Other names
Lasting Change Recovery Solutions for Women
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIE LYNN JOHNSON (EXECUTIVE DIRECTOR)
(301) 791-7826
Entity
Organization
Contact information
Practice address
519 N LOCUST ST, HAGERSTOWN, MD 21740-3911
(301) 791-7826
Mailing address
519 N LOCUST ST, HAGERSTOWN, MD 21740-3911
(301) 791-7826
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/25/2019
Last updated
02/26/2019
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