Provider Demographics
NPI:1144612151
Name:ASHLEY, INC.
Entity Type:Organization
Organization Name:ASHLEY, INC.
Other - Org Name:FATHER MARTIN'S ASHLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:410-273-2207
Mailing Address - Street 1:800 TYDINGS LN
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2102
Mailing Address - Country:US
Mailing Address - Phone:800-799-4673
Mailing Address - Fax:410-273-2290
Practice Address - Street 1:800 TYDINGS LN
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2102
Practice Address - Country:US
Practice Address - Phone:800-799-4673
Practice Address - Fax:410-273-2290
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHLEY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-27
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423736600Medicaid