Organization
WAY STATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN GUY ELCHIN (BILLING DIRECTOR)
(301) 662-0099
Entity
Organization
Contact information
Practice address
230 W PATRICK ST, FREDERICK, MD 21701-6945
(301) 662-0099
(301) 695-2716
Mailing address
PO BOX 3826, FREDERICK, MD 21705-3826
(301) 662-0099
(301) 695-2716
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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