Organization
WELLS HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA TRENTON NEE (COO)
(301) 739-7748
Entity
Organization
Contact information
Practice address
330 FREDERICK ST, HAGERSTOWN, MD 21740-6112
(301) 739-7748
(301) 739-4001
Mailing address
330 FREDERICK ST, HAGERSTOWN, MD 21740-6112
(301) 739-7748
(301) 739-4001
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
904921
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532205700
—
MD
05
—
532205701
—
MD
05
—
532205702
—
MD
Enumeration date
12/31/2014
Last updated
11/27/2024
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