Provider Demographics
NPI:1801873989
Name:ASHLEY, INC
Entity type:Organization
Organization Name:ASHLEY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-273-2462
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:410-273-2213
Mailing Address - Fax:410-344-2416
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:21078-2132
Practice Address - Country:US
Practice Address - Phone:410-273-6600
Practice Address - Fax:410-272-5617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13906324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA159250OtherBLUE CROSS OF DELAWARE
VA068274OtherBLUE CROSS VIRGINIA
MD57595101OtherCAREFIRST OF MARYLAND
DCNE7OtherGHMSI
003653OtherMHN
VA068274OtherBLUE CROSS VIRGINIA
DCNE7OtherGHMSI