CALVERT SUBSTANCE ABUSE SERVICES - BEACH (NPI# 1215916598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215916598 |
| Entity Type | Organization |
| Organization Name | CALVERT SUBSTANCE ABUSE SERVICES - BEACH |
| Practice Address |
3819 Harbor Rd. Suite 103 Chesapeake Beach MD 20732 |
| Mailing Address |
P.o. Box 1158 Prince Frederick MD 20678 |
| Practice Telephone | 4102860547 |
| Practice Fax Number | 4102868950 |
| Mailing Telephone | 4105353079 |
| Mailing Fax Number | 4105352220 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | MRS. DORIS J. MCDONALD (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Telephone | 4105353079 |
| Authorized Official Credential | MA, LCADC, LCDC |
| Is Organization Subpart | Y |
| Parent Organization Name | CALVERT SUBSTANCE ABUSE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 12084 | MD | Residential Treatment Facilities |
| Street Address |
3819 HARBOR RD. SUITE 103 |
| City | CHESAPEAKE BEACH |
| State | MD |
| Zip Code | 20732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1639677339 | Sophia Carlton | Social Worker | District Center for Wellness, 201 4th St Se, Washington, DC 20732 | 2018-01-28 |
| 1578902078 | April Lynne Arford | Day Training, Developmentally Disabled Services | 8049 Windward Key Drive, Chesapeake Beach, MD 20732 | 2013-06-18 |
| 1003899873 | Timothy Joseph O'leary | Pathology | 4755 Camp Roosevelt Drive, Chesapeake Beach, MD 20732 | 2005-11-24 |
| 1326401894 | Gwendolyn Redden | Physical Therapist | 8420 Bayside Rd, Chesapeake Beach, MD 20732 | 2016-04-01 |
| 1336505676 | Rebecca Mae Johnson | Specialist/Technologist | 8214 Elm Ln, Elm Lane, Chesapeake Beach, MD 20732-3018 | 2015-12-31 |
| 1871839308 | Vanessa Payne | Counselor | 3819 Harbor Rd, 103, Chesapeake Beach, MD 20732-3109 | 2013-01-03 |
| 1245782002 | Nimat Gawhar | Counselor | 3819 Harbor Rd, Chesapeake Beach, MD 20732-3109 | 2016-10-27 |
| 1962850743 | Calvert County Health Department | Clinic/Center | 3819 Harbor Rd, Suite 103, Chesapeake Beach, MD 20732-3109 | 2016-06-02 |
| 1891150801 | Christen D Sneed | Counselor | 3819 Harbor Rd Unit 103, Chesapeake Beach, MD 20732-3110 | 2015-12-17 |
| Find all providers in zip 20732 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE BEACH |
| Zip Code | 20732 |
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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.