Provider Demographics
NPI:1861052664
Name:T.W.S BEHAVIORAL HEALTHCARE LLC
Entity type:Organization
Organization Name:T.W.S BEHAVIORAL HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTEARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-934-2320
Mailing Address - Street 1:6801 BELAIR RD APT SUITE
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:410-665-3000
Mailing Address - Fax:
Practice Address - Street 1:6801 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1121
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:2019-06-14
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD834543854Medicaid