Organization
CHATFORD MANOR BEHAVIORAL & RESIDENTIAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMI WELLS (OWNER)
(443) 960-1497
Entity
Organization
Contact information
Practice address
4709 CHATFORD AVE, BALTIMORE, MD 21206-6800
(443) 413-0468
Mailing address
4709 CHATFORD AVE, BALTIMORE, MD 21206-6800
(443) 413-0468
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
01/02/2024
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