1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Clinic Center
  6. NPI Profile

PINE HEIGHTS TREATMENT CENTER
NPI 1033507827
Clinic/Center - Methadone in Baltimore, MD

Active since December 31, 2014CLIA 21D1063873 · Waiver
3455 WILKENS AVE, LOWER LEVEL 20, BALTIMORE, MD 21229(410) 646-6960 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2023, Feb 18, 2020 (2 updates tracked since 2020).

About Pine Heights Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE HEIGHTS TREATMENT CENTER (NPI 1033507827) is a healthcare organization registered as a methadone in Baltimore, Maryland and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Brian Phillip Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1033507827
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameATS OF CECIL COUNTY, LLC
Location Address3455 WILKENS AVE, LOWER LEVEL 20Baltimore, MD 21229-5213
Mailing Address6183 Paseo Del Norte Ste 200Carlsbad, CA 92011-1151 · (615) 861-6000
Phone(410) 646-6960
Organization SubpartYesParent: Acadia Healthcare
Authorized OfficialBrian Phillip FarleyVp & Secretary · (615) 861-6000
Enumeration DateDecember 31, 2014
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1033507827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
3455 WILKENS AVE, Baltimore, MD 21229
Open in Google Maps ↗

Other Names 1

Doing Business AsPine Heights Treatment Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1063873

Ats Of Cecil Co LLC Dba Pine Heights Treatment Ctr · Baltimore, MD
Active · expires Jan 23, 2027
CLIA Number21D1063873
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Enrique Olivares
Laboratory Phone(410) 646-6960
Laboratory LocationAts Of Cecil Co LLC Dba Pine Heights Treatment Ctr3455 Wilkens Ave Lower Level 20, Baltimore, MD 21229
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATHERINE NUGENT CRNA
Nurse Anesthetist, Certified Registered
3455 WILKENS AVE, SUITE 100
BALTIMORE, MD 21229
Baltimore City (410) 646-0331
CHESAPEAKE LABS LLC
Clinical Medical Laboratory
3455 WILKENS AVE, SUITE 205
BALTIMORE, MD 21229
Baltimore City (410) 242-3762
DR. LAURENCE C BEZIRDJIAN M.D.
Urology
3455 WILKENS AVE, SUITE 100
BALTIMORE, MD 21229
Baltimore City (410) 646-0330
LIFE RENEWAL SERVICES, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3455 WILKENS AVE, SUITE 303
BALTIMORE, MD 21229
Baltimore City (443) 289-8149
BRIDGETTE JONES
Licensed Practical Nurse
3455 WILKENS AVE
BALTIMORE, MD 21229
Baltimore City (443) 763-1404
DIANNE L. GUY R.N.
Registered Nurse
3455 WILKENS AVE
BALTIMORE, MD 21229
Baltimore City (410) 646-6970
MS. ARTYSHA SKINNER
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE
BALTIMORE, MD 21229
Baltimore City (410) 646-6970
MS. KATERINA JOJIC ADT3779
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE
BALTIMORE, MD 21229
Baltimore City (410) 646-6970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ats Of Cecil County, LLC's NPI number?

The NPI number for Ats Of Cecil County, LLC is 1033507827. It was assigned to this organization in the NPPES registry on December 31, 2014. The provider is doing business as Pine Heights Treatment Center.

Where is Ats Of Cecil County, LLC located?

Ats Of Cecil County, LLC is located at 3455 Wilkens Ave Lower Level 20, Baltimore, MD 21229. The listed phone number is (410) 646-6960.

What is Ats Of Cecil County, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Ats Of Cecil County, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1063873) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ats Of Cecil County, LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.