Organization
WAY STATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN G. ELCHIN (BILLING DIRECTOR)
(301) 662-0099
Entity
Organization
Contact information
Practice address
121 MEMORIAL AVE, CUMBERLAND, MD 21502-4209
(301) 662-0099
(301) 695-2716
Mailing address
PO BOX 3826, FREDERICK, MD 21705-3826
(301) 662-0099
(301) 695-2716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH000455
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
MD
Enumeration date
08/10/2017
Last updated
06/16/2018
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