Organization
ASHLEY, INC
Active
Other names
Ashley Addiction Treatment, Father Martin's Ashley
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER AGUGLIA (VICE PRESIDENT OF CLINICAL SERVICES)
(410) 273-2462
Entity
Organization
Contact information
Practice address
800 TYDINGS LN, HAVRE DE GRACE, MD 21078-2132
(410) 273-6600
(410) 272-5617
Mailing address
800 TYDINGS LN, HAVRE DE GRACE, MD 21078-2102
(410) 273-2213
(410) 344-2416
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13906
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003653
MHN
—
01
—
068274
BLUE CROSS VIRGINIA
VA
01
—
57595101
CAREFIRST OF MARYLAND
MD
01
—
A159250
BLUE CROSS OF DELAWARE
DE
01
—
NE7
GHMSI
DC
Enumeration date
12/29/2005
Last updated
08/13/2024
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