CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW – NPI #1417936287
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.

CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW is a substance abuse rehabilitation facility located in BARSTOW, MD. NPPES has assigned the NPI number 1417936287 to CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW on January 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 11 years ago on Jul 10, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW below.

NPI Profile for
CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW

NPI Number
1417936287
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW
Primary location
280 STAFFORD ROAD
BARSTOW, MD 20610
Phone: (410) 535-3079 Fax: (410) 535-2220
Mailing address
P.O. BOX 1158
PRINCE FREDERICK, MD 20678
Phone: (410) 535-3079 Fax: (410) 535-2220
Organization Subpart
Yes - CCHD - SUBSTANCE ABUSE SRVCS - BARSTOW is subpart of another organization.
Authorized Official
DORIS MCDONALD
BEHAVIORAL HEALTH DIRECTOR
Phone: (410) 535-3079
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
MD 12086

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.