Provider Demographics
NPI:1326596651
Name:HAMPDEN HEALTH SOLUTIONS AT THE RAIL, INC
Entity Type:Organization
Organization Name:HAMPDEN HEALTH SOLUTIONS AT THE RAIL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:WEST
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, CSC-AD
Authorized Official - Phone:410-467-4357
Mailing Address - Street 1:600 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 600C
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-530-9250
Practice Address - Street 1:3612 FALLS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1869
Practice Address - Country:US
Practice Address - Phone:410-467-4357
Practice Address - Fax:866-530-3435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder