Ats of Cecil County, LLC
Organization Active NPI Methadone Clinic · Baltimore, MD
NPI 1356540546 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1356540546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- ATS OF CECIL COUNTY, LLC
- Practice address
- 3455 Wilkens Ave
Lower Level 20
Baltimore, MD 21229-5213 - Phone
- (410) 646-6960
- NPI assigned
- Jul 17, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACADIA HEALTHCARE
Authorized official
- Name
- Brian Phillip Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 10
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191226000537 | MD | Part B Supplier - Opioid Treatment Program (Otp) | 6800220906 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Elkton, MD; Lavale, MD |
National Provider Directory
- Tax ID family
- Ats of Cecil County LLC
- Part of
- Haven Behavioral Healthcare
Locations
3455 Wilkens Ave
Lowr
Baltimore, MD 21229
Phone (410) 646-6960
14701 National Hwy SW
Ste 561B
Lavale, MD 21502
Phone (301) 687-0940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Yes |
Addresses
Primary practice location
3455 Wilkens Ave
Lower Level 20
Baltimore, MD 21229-5213
Mailing address
6183 Paseo del Norte Ste 200
Carlsbad, CA 92011-1151
Phone (615) 861-6000
Other names
- Pine Heights Treatment Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Baltimore, MD
- Atrium Behavioral Health Services
- Atrium Life Enhancement Services, LLC
- Ats of Cecil County
- Ats of Cecil County, LLC
- Ats of Cecil County, LLC
- Frederick Atta-Boahen
- Lyla Atta
- Martin Ofori Atta
- Mohamed G Atta
- Ruth Atta
All providers in Baltimore, MD · Methadone Clinic in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.