Chatford Manor Behavioral and Residential Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHATFORD MANOR BEHAVIORAL AND RESIDENTIAL SERVICES

Practice address

8109 Harford Rd Ste 2
Parkville, MD 21234-9205

Phone

(443) 653-0567

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Temi Wells

Title

Owner

Phone

(443) 960-1497

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1780317834",
    "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": "443-653-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 HARFORD RD STE 2",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212349205",
            "telephone_number": "443-653-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATFORD MANOR BEHAVIORAL AND RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-960-1497",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chatfordmanor.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8109 Harford Rd Ste 2",
            "city": "Parkville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212349205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Parkville, MD
• Providers in Parkville, 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 Jan 2, 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.