Provider Demographics
NPI:1225182215
Name:WMRS INC
Entity Type:Organization
Organization Name:WMRS INC
Other - Org Name:WMRS, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PROGRAM SPONSOR-OWNE
Authorized Official - Phone:301-724-1144
Mailing Address - Street 1:11604 BEDFORD ROAD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-724-1144
Mailing Address - Fax:301-724-2268
Practice Address - Street 1:11604 BEDFORD RD NE STE 7
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6994
Practice Address - Country:US
Practice Address - Phone:301-724-1144
Practice Address - Fax:301-724-2268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD-10100-M101YA0400X
MD903004261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1841298908OtherPHYSICANS PROVIDER #