Organization
WAY STATION, INC.
Active
Other names
Way Station Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ROSE (CEO)
(301) 662-0099
Entity
Organization
Contact information
Practice address
228 W PATRICK ST, FREDERICK, MD 21701
(301) 662-0099
(301) 695-2716
Mailing address
230 W PATRICK ST, FREDERICK, MD 21701-6945
(301) 662-0099
(301) 695-2716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365161400
—
MD
Enumeration date
05/02/2012
Last updated
12/22/2021
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