1. Home
  2. Directory
  3. Maryland
  4. Cumberland
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

BEHAVIORAL HEALTH JACKSON UNIT
NPI 1134512403
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Cumberland, MD

Active since March 11, 2015
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502(301) 777-2290(301) 777-2141 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Behavioral Health Jackson Unit NPPES

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

BEHAVIORAL HEALTH JACKSON UNIT (NPI 1134512403) is a healthcare organization registered as a substance abuse treatment, children in Cumberland, Maryland and active in the NPI registry since March 2015. The organization lists Sue V Raver, Allegany County Health Officer, as its authorized official.

NPPES Registry Identity

NPI1134512403
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameALLEGANY COUNTY HEALTH DEPARTMENT
Location Address10102 COUNTRY CLUB RD SECumberland, MD 21502-8339
Mailing AddressPo Box 1745Cumberland, MD 21501-1745 · (301) 759-5000 · Fax (301) 777-5674
Phone(301) 777-2290
Fax(301) 777-2141
Organization SubpartYes
Authorized OfficialSue V RaverAllegany County Health Officer · (301) 759-5000
Enumeration DateMarch 11, 2015
✔ NPI 1134512403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in MD · 904691
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
10102 COUNTRY CLUB RD SE, Cumberland, MD 21502
Open in Google Maps ↗

Other Names 1

Other NameBehavioral Health Jackson Unit

Other Identifiers 3

Other323817Value Options
Medicaid603304100MD
Other277593Mamsi

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.

GREGORY PETERS CAC-AD
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2290
LISA DAVIS
Social Worker
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2257
HEIDI VALENTINE
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
TERRI JO YARBROUGH
Licensed Practical Nurse
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-5582
AMBER MARIE TAYLOR
Licensed Practical Nurse
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
ANDREW JOHNSON
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
KATHY MILLER LCADC
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2285
KIM ABE CAC-AD
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Allegany County (301) 777-2290

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 Allegany County Health Department's NPI number?

The NPI number for Allegany County Health Department is 1134512403. It was assigned to this organization in the NPPES registry on March 11, 2015. The provider is also known as Behavioral Health Jackson Unit.

Where is Allegany County Health Department located?

Allegany County Health Department is located at 10102 Country Club Rd SE, Cumberland, MD 21502. The listed phone number is (301) 777-2290.

What is Allegany County Health Department's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Allegany County Health Department was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.