CITY WIDE TREATMENT CENTER (NPI# 1063766558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063766558 |
| Entity Type | Organization |
| Organization Name | CITY WIDE TREATMENT CENTER |
| Practice Address |
9104 Wipkey Ct Bowie MD 20720-3233 |
| Practice Telephone | 3014649617 |
| Mailing Telephone | 3014649617 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DAMON EUGENE HALL (CEO) |
| Authorized Official Telephone | 2024097467 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Street Address |
9104 WIPKEY CT |
| City | BOWIE |
| State | MD |
| Zip Code | 20720-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| Find all providers in zip 20720 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841453 | Focus Recovery Center LLC | Clinic/Center | 801 Toll House Ave # B1&b2, Frederick, MD 21701-4564 | 2020-04-28 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1538700372 | Open Arms & Hearts Health Services, LLC | Clinic/Center | 1532 Ocean Hwy Unit 101104, Pocomoke City, MD 21851-3023 | 2019-10-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1396300398 | Bel Air Recovery Center, LLC | Clinic/Center | 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015-5906 | 2019-05-06 |
| 1194295840 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-11-26 |
| 1386128387 | Veni Vidi Vici Treatment Services, LLC. | Clinic/Center | 4b North Ave Ste 302, Bel Air, MD 21014-2304 | 2018-09-17 |
| 1447730890 | Evergreen Treatment Services LLC | Clinic/Center | 2120 Pulaski Hwy, Havre De Grace, MD 21078-2127 | 2018-08-15 |
| 1659861607 | Winchester Health LLC | Clinic/Center | 1315 Bloomingdale Rd, Baltimore, MD 21216-3922 | 2018-05-15 |
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.