Organization Active NPI

Affinity Recovery Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sudlersville, MD
National Provider Identifier
1316697337
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AFFINITY RECOVERY TREATMENT CENTER
Practice address
106 Charles St
Sudlersville, MD 21668-1520
Phone
(443) 204-5800
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Desiree Mountain
Title
Compliance Officer
Phone
(443) 204-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

106 Charles St
Sudlersville, MD 21668-1520

Mailing address

1100 Business Pkwy S Unit a
Westminster, MD 21157-3048

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1316697337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S UNIT A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CHARLES ST",
            "city": "SUDLERSVILLE",
            "state": "MD",
            "postal_code": "216681520",
            "telephone_number": "443-204-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY RECOVERY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "443-204-5800"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudlersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.