Safe Space - Otp

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SAFE SPACE - OTP

Practice address

7811 Wise Ave
Dundalk, MD 21222-3339

Phone

(443) 376-5788

NPI assigned

Nov 16, 2022

Organization subpart

Yes

Parent organization

SAFE SPACE HEALTH & WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Courtney WrightNPI 1669187324

Title

Executive Director

Phone

(443) 488-4808

Specialties & licenses 1

Addresses

Tax ID family

Safe Space - Otp2 organizations share this tax ID, including this one

Part of

Safe Space - Otp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Safespace Health&Wellness

  • Community/Behavioral Health Agency
  • Dundalk, MD
  • NPI 1962137349
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Wright

  • Orientation and Mobility Training Rehabilitation Counselor
  • Dundalk, MD
  • NPI 1669187324
  NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1952010233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 WISE AVE FL 1",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "443-488-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "443-376-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE - OTP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFE SPACE HEALTH & WELLNESS LLC",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-488-4808"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahra Ross, BCBA, LBA
• Andrea Jeannette Rozics, CCC-A
• Florence W. Rugoiyo, PTA
• Betsy Jean Ruth, LCSW-C
• Safe Harbor Christian Counseling
• Safespace Health&Wellness
• Saint Paul Place Specialists, Inc.
• Anika Samee, DDS
• Samuel K. Huang DDS LLC
• Emily Sapp, CRNP

• Substance Use Disorder Rehabilitation Clinic/Center in Dundalk, MD
• Providers in Dundalk, 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 Dec 22, 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.