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QUEEN ANNE'S COUNTY ALCOHOL AND DRUG ABUSE SERVICES
NPI 1174893556
Clinic/Center - Rehabilitation, Substance Use Disorder in Centreville, MD

Active since January 03, 2012
205 N LIBERTY ST, CENTREVILLE, MD 21617(410) 758-1306(410) 758-2133 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Queen Anne's County Alcohol And Drug Abuse Services NPPES

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

QUEEN ANNE'S COUNTY ALCOHOL AND DRUG ABUSE SERVICES (NPI 1174893556) is a healthcare organization registered as a rehabilitation, substance use disorder in Centreville, Maryland and active in the NPI registry since January 2012. The organization lists Gary B Fry, Program Director, as its authorized official.

NPPES Registry Identity

NPI1174893556
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameQUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Location Address205 N LIBERTY STCentreville, MD 21617-1022
Mailing Address206 N Commerce StCentreville, MD 21617-1049 · (410) 758-1306 · Fax (410) 758-2133
Phone(410) 758-1306
Fax(410) 758-2133
Organization SubpartYes
Authorized OfficialGary B FryProgram Director · (410) 758-1306
Enumeration DateJanuary 3, 2012
Last NPPES UpdateDecember 4, 2014
✔ NPI 1174893556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · 750325
205 N LIBERTY ST, Centreville, MD 21617
Open in Google Maps ↗

Other Names 1

Doing Business AsQueen Anne's County Alcohol And Drug Abuse Services

Other Identifiers 15

Medicaid420917600MD
Other420917600MD · United Behavioral Health Ma Mco
Medicare UPINVA09MD
Other01372281MD · Amerigroup Ma Mco
Other056064MD · Priority Partners Pac Mco
Other420917600MD · Diamond Plan Ma Mco
Other420917600MD · Jai Medical Ma Mco
Other01372281MD · Amerigroup Pac Mco
Other019364MD · Value Options Ma Mco
Other420917600MD · Maryland Physicians Care Ma Mco
Other420917600MD · Medstar Family Ma Mco
Other019364MD · Riverside Ma Mco
Other056064MD · Priority Partners Ma Mco
Other420917600MD · United Health Care-ma Mco
OtherH93MD · Carefirst Bcbs Of Md

Other Providers at the Same Location NPPES 9

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

GARY B. FRY LCA066
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
RONALD L DOUGLAS CSC-AD, CCDC
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
MARY SUSAN HARRISON TRAINEE-AD
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
KATHLEEN S RYAN LCADC
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
ANDREA CHEEZUM ALCOHOL/DRUG TRAINEE
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
JOHN J SYKES CSC-AD
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
QUEEN ANNE'S COUNTY HEALTH DEPARTMENT
Clinic/Center (Rehabilitation, Substance Use Disorder)
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306
MS. ELIZABETH BOHAKER
Counselor (Addiction (Substance Use Disorder))
205 N LIBERTY ST
CENTREVILLE, MD 21617
Queen Anne's County (410) 758-1306

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 Queen Anne's County Health Department's NPI number?

The NPI number for Queen Anne's County Health Department is 1174893556. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Queen Anne's County Alcohol And Drug Abuse Services.

Where is Queen Anne's County Health Department located?

Queen Anne's County Health Department is located at 205 N Liberty St, Centreville, MD 21617. The listed phone number is (410) 758-1306.

What is Queen Anne's County Health Department's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Queen Anne's County Health Department was last updated on December 4, 2014. 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.