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WHITE FLINT RECOVERY EASTERN SHORE INC. NPI 1790709442


NPI Information

NPI: 1790709442
Provider Name: WHITE FLINT RECOVERY EASTERN SHORE, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 21D2058140

Address:
130 E MAIN ST
FIRST FLOOR
SALISBURY, MD
ZIP 21801
Phone: (410) 749-6422
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WHITE FLINT RECOVERY EASTERN SHORE, INC. is an adult mental health clinic center in Salisbury, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WHITE FLINT RECOVERY EASTERN SHORE, INC. NPI is 1790709442. The provider is registered as an organization entity type.

The provider's business location address is:

130 E MAIN ST
FIRST FLOOR
SALISBURY, MD
ZIP 21801-036
Phone: (410) 749-6422
Fax: (410) 749-7861

The provider's authorized official is Judith A. Whaley .
The authorized official title is Director and has the following contact phone number (410) 749-6422.

The CLIA number assigned to this NPI record is 21D2058140 - other - substance abuse facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 3/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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