ACHD-LOIS E. JACKSON UNIT
NPI 1942360490
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Cumberland, MD

Active since December 12, 2006
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502(301) 777-2290(301) 777-2141 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Achd-lois E. Jackson Unit NPPES

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

ACHD-LOIS E. JACKSON UNIT (NPI 1942360490) is a healthcare organization registered as a substance abuse treatment, children in Cumberland, Maryland and active in the NPI registry since December 2006. The organization lists Sue Raver, Health Officer, as its authorized official.

NPPES Registry Identity

NPI1942360490
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
Fax(301) 777-2141
Organization SubpartYes
Authorized OfficialSue RaverHealth Officer · (301) 759-5001
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 6, 2013
NPI 1942360490 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 · 16297
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

Other Names 1

Other NameAchd-lois E. Jackson Unit

Other Identifiers 10

Other323817Value Options
Other604116-02Carefirst Bcbs
Other277593Mamsi
Other055998Priority Partners (mco)
Other351541Mamsi
Medicaid603304100MD
Other02IOMagellan
Other5098907Ubh (mco)
OtherIOMagellan
OtherNU1Ghmsi

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.

Psychiatric Hospital
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Psychiatric Hospital
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Substance Abuse Rehabilitation Facility
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Counselor (Professional)
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Nurse Practitioner (Acute Care)
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502
Counselor (Addiction (Substance Use Disorder))
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942360490, enumerated as an "organization" on December 12, 2006.

The provider is located at 10102 COUNTRY CLUB RD SE CUMBERLAND, MD 21502 and the phone number is (301) 777-2290.

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.