DWI SERVICES, INC (NPI# 1306210638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306210638 |
| Entity Type | Organization |
| Organization Name | DWI SERVICES, INC |
| Other Organization Name | AVENUES RECOVERY CENTER OF MARYLAND |
| Practice Address |
125 Fairground Rd Prince Frederick MD 20678-4167 |
| Mailing Address |
211 Boulevard of The Americas Suite 503 Lakewood NJ 08701 |
| Practice Telephone | 4105358930 |
| Practice Fax Number | 4105358935 |
| Mailing Telephone | 7323078000 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | HUDI ALTER (CEO) |
| Authorized Official Telephone | 7323078000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
903008 | MD | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Avenues Recovery Center of Maryland | Doing Business As Name - Organization |
| Carol M Porto Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902955396 | Dwi Services, Inc | Substance Abuse Rehabilitation Facility | 125 Fairgrounds Road, Prince Frederick, MD 20678-0730 | 2007-01-09 |
| Street Address |
125 FAIRGROUND RD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316457534 | Travis Wayne Roberts | Nurse Practitioner | 125 Fairground Rd, Prince Frederick, MD 20678-4167 | 2017-10-02 |
| 1619403821 | Dwi Services Inc | Substance Abuse Rehabilitation Facility | 125 Fairground Rd, Prince Frederick, MD 20678-4167 | 2017-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124514104 | Utopia Health Center | Community/Behavioral Health | 65 Duke St, Prince Frederick, MD 20678-6128 | 2018-07-02 |
| 1093217879 | Project Chesapeake, LLC | Community/Behavioral Health | 69 Sherry Ln, Prince Frederick, MD 20678-3231 | 2018-03-07 |
| 1588049548 | Step N2 Recovery Services | Community/Behavioral Health | 1010 Prince Frederick Blvd, Prince Frederick, MD 20678-3908 | 2015-07-20 |
| 1235516469 | Bayside Recovery LLC | Community/Behavioral Health | 440 Solomons Island Rd N, Suite 222, Prince Frederick, MD 20678-3941 | 2015-04-27 |
| 1104218767 | Center for Children Inc. | Community/Behavioral Health | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2015-02-19 |
| 1932525300 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-03-10 |
| 1881026409 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2013-08-06 |
| 1790917235 | Center for Children, Inc | Community/Behavioral Health | 489 Main Street, Suite 201, Prince Frederick, MD 20678 | 2009-08-18 |
| 1457541948 | Center for Children, Inc. | Community/Behavioral Health | 489 Main Street, Suite 202, Prince Frederick, MD 20678-3909 | 2007-07-31 |
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|---|---|---|---|---|
| 1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.