Organization Active NPI

Exordium Substance Abuse Services LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1609748441
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EXORDIUM SUBSTANCE ABUSE SERVICES LLC
Practice address
4712 Dunkirk Ave
Baltimore, MD 21229-3318
Phone
(410) 231-3683
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mr. Anthony S Diggs Sr.
Title
Ceo
Phone
(410) 231-3683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4712 Dunkirk Ave
Baltimore, MD 21229-3318

Mailing address

1177 Annapolis Rd Unit 464
Odenton, MD 21113-7519
Phone (410) 231-3683

National Provider Directory

National Provider Directory

Locations

1177 Annapolis Rd
Unit 464
Odenton, MD 21113

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1609748441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ANNAPOLIS RD UNIT 464",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211137519",
            "telephone_number": "410-231-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 DUNKIRK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293318",
            "telephone_number": "410-231-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXORDIUM SUBSTANCE ABUSE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-231-3683",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.