| Organization Name: | WELLS HOUSE INC |
| NPI Number: | 1003272873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA CAMPBELL (ADMINISTRATIVE MANAGER) |
| Mailing Address: | 336 N Market St Frederick |
| State: | MD US |
| Postal Code: | 217015337 |
| Phone Number: | 3017397748 |
| Fax Number: | 3017394001 |
| NPI Enumeration Date: | 01/11/2016 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 905783 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |