VICTOR CULLEN CENTER (NPI# 1932334406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932334406 |
| Entity Type | Organization |
| Organization Name | VICTOR CULLEN CENTER |
| Practice Address |
6000 Cullen Dr Sabillasville MD 21780-9701 |
| Practice Telephone | 3017398122 |
| Practice Fax Number | 3017397574 |
| Mailing Telephone | 3017398122 |
| Mailing Fax Number | 3017397574 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MS. NANCY ANN SCHROCK (ADDICTIONS ADMINISTRATOR) |
| Authorized Official Telephone | 3017772145 |
| Authorized Official Credential | AD-CAC |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MARYLAND DEPARTMENT OF JUVENILE SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
6000 CULLEN DR |
| City | SABILLASVILLE |
| State | MD |
| Zip Code | 21780-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972892719 | Deborah Nina Smith | Nurse Practitioner | 6000 Cullen Drive, Sabillasville, MD 21780 | 2011-04-01 |
| 1154933687 | Amanda Lee Mohler | Nurse Practitioner | 15880 Manahan Rd, Sabillasville, MD 21780-8405 | 2020-08-17 |
| 1689145906 | Jamila Pennyman | Nurse Practitioner | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2018-12-14 |
| 1144871542 | Grace Trigger | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-26 |
| 1609424530 | The Orenda Center for Wellness | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-04 |
| 1235783259 | Kristin Lei Young | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-07-29 |
| 1154984961 | The Orenda Center for Wellness LLC | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-04-17 |
| 1144627043 | Washington County Health Department East | Clinic/Center | 5989 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-11-21 |
| 1386810877 | Joel Grinder | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-05 |
| 1093296576 | Washington County Health Department-csap | Clinic/Center | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2018-08-23 |
| Find all providers in zip 21780 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697640 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-22 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| 1093332595 | A Brighter Day Behavioral Health Center | Substance Abuse Rehabilitation Facility | 8350 Bristol Ct Ste 101, Jessup, MD 20794-9756 | 2020-06-30 |
| 1497316715 | Center for Creative Values, Inc | Substance Abuse Rehabilitation Facility | 8110 Harford Road, Suite B, Parkville, MD 21234-2123 | 2019-06-26 |
| 1255875753 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 6525 Belcrest Rd., G40, Hyattsville, MD 20782-2003 | 2016-12-19 |
| 1356694277 | One World Foundation | Substance Abuse Rehabilitation Facility | 807 Balsamtree Dr, Capitol Heights, MD 20743-1427 | 2012-10-16 |
| 1316115454 | Second Genesis, Inc | Substance Abuse Rehabilitation Facility | 4620 Melwood Rd, Upper Marlboro, MD 20772-9507 | 2008-02-12 |
| 1538355524 | Meadow Mountain Drug Treatment Program | Substance Abuse Rehabilitation Facility | 234 Recovery Rd, Grantsville, MD 21536-2217 | 2007-09-24 |
| 1124223979 | Collington Square Non Profit Corporation | Substance Abuse Rehabilitation Facility | 1211 N Chester St, Baltimore, MD 21213-3330 | 2007-06-20 |
| 1316546823 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SABILLASVILLE |
| Zip Code | 21780 |
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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.