Chatford Manor Behavioral Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHATFORD MANOR BEHAVIORAL SERVICES LLC

Practice address

8517 Loch Raven Blvd Ste 3
Towson, MD 21286-2302

Phone

(443) 495-2965

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Temi Similade Wells

Title

Ceo

Phone

(443) 960-1497

Specialties & licenses 1

Addresses

Other names 1

• Chatford Manor Behavioral Services LLC Former legal business name

Locations

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1598580599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD STE 2",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "443-960-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 LOCH RAVEN BLVD STE 3",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862302",
            "telephone_number": "443-495-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATFORD MANOR BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TEMI",
        "authorized_official_middle_name": "SIMILADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-960-1497"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatford Manor Behavioral Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charm City Podiatry, LLC
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• Sarah Tyler Charvat, MS
• Adrienne Chase
• Chatford Manor Behavioral & Residential Services, LLC.
• Marie D Chatham, M.D.
• Charles Patrick Chaulk, M.D.
• Rubin Jakob Chavarria, DPT
• Stephanie Chavarria
• Toa Goon Chaw, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Towson, MD
• Providers in Towson, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.