Organization Name: | CALVERT SUBSTANCE ABUSE SERVICES - BEACH |
NPI Number: | 1215916598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DORIS J. MCDONALD (BEHAVIORAL HEALTH DIRECTOR) |
Mailing Address: | 3819 Harbor Rd. Suite 103 Chesapeake Beach |
State: | MD US |
Postal Code: | 20732 |
Phone Number: | 4102860547 |
Fax Number: | 4102868950 |
NPI Enumeration Date: | 01/13/2006 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 12084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |