Organization
AVERY HALFWAY HOUSE
Active
Other names
Chrysalis House Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LORENE LAKE (EXECUTIVE DIRECTOR)
(410) 974-6829
Entity
Organization
Contact information
Practice address
14705 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-4651
(301) 762-4836
Mailing address
14705 AVERY RD, ROCKVILLE, MD 20853-3605
(301) 762-4651
(301) 762-4836
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
9217
MD
Other
Enumeration date
11/21/2005
Last updated
08/22/2020
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