Provider Demographics
NPI:1316532385
Name:THERAPEUTIC WELLNESS SERVICES CORP
Entity type:Organization
Organization Name:THERAPEUTIC WELLNESS SERVICES CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTEARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-665-3000
Mailing Address - Street 1:6801 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1121
Mailing Address - Country:US
Mailing Address - Phone:443-934-2320
Mailing Address - Fax:
Practice Address - Street 1:4100 HARRIS AVE # AB
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-6349
Practice Address - Country:US
Practice Address - Phone:410-665-3000
Practice Address - Fax:410-665-3001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPETIC WELLNESS SERVICES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-02
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDW19619980Medicaid