Allegany County - Behavioral Health Administration Home · PDF fileContacts: Adolescent Program ... FacilityName: Allegany County Health Department- Outpatient Addictions Program

Allegany County

FacilityName: Acorn Counseling Center

Address: 60 Pershing St. Cumberland MD 21502

Phone: (240) 362-7343 Fax:

Population(s) Served:

Service(s) Provided:

PrivateClinic ID: 100028

License:

3683

Contacts:

Adolescent Program

Co-Occurring Treatment

Female Specific Program

Male Specific Program

Pregnant Women Specific Program

Women w/Children Specific Program

905039 8/27/2013 2/27/2014Initial 9/6/2013

Adult Slots Adolescent SlotsASAM

Level I -- Outpatient 30 10

Level II.1 -- Intensive Outpatient 10 0

Level 0.5 -- DWI Education 30 5

Emergency Contact: Mr. Jay Cutler

240-362-7343 240-362-7371

Phone Alt. PhoneCell Fax:

Owner: Mr. Jay Cutler

240-362-7343 240-362-7371


Program Director: Mr. Jay Cutler

240-362-7343 240-362-7371


Sponsor: Mr. Jay Cutler

240-362-7343 240-362-7371


FacilityName: ADAC of Allegany County

Address: 994 National Highway LaVale MD 21502

Phone: (301) 729-0340 Fax: (301) 729-0341




License:

3289

Contacts:






904769 9/13/2012 3/13/2013Initial 9/18/2012


Level II.1 -- Intensive Outpatient 15 -

Emergency Contact: Mr. Jay Cutler

240-362-7343 240-362-7371


Owner: Mr. Jay Cutler

240-362-7343 240-362-7371


Program Director: Mr. Jay Cutler

240-362-7343 240-362-7371


Sponsor: Mr. Jay Cutler

240-362-7343 240-362-7371


FacilityName: Allegany County Health Department - Joseph S. Massie Unit

Address: 10102 Country Club Rd. Cumberland MD 21502

Phone: (301) 777-2285 Fax: (301) 777-5832



FundedClinic ID: 900227

License:

3171

Contacts:




Spanish Speaking Services

Other Language Services

Deaf Services

904693 6/22/2012 6/22/2014General 6/27/2012



Level II.5 -- Partial Hospitalization 25 -

Level III.7 -- Residential 25 -

904694 6/22/2012 12/22/2012Initial 6/27/2012



Emergency Contact: Mr. Robert Cassidy

(301) 777-2285 (301) 777-2290 (301) 777-5832

[email protected] Alt. PhoneCell Fax:

Medical Director: Sue Raver, MD

(301) 777-5600 (301) 777-5674


Owner: Sue Raver, MD

(301) 777-5600 (301) 777-5674


Program Director: Mr. Rodger Simons

(301) 777-5680 (301) 777-2098


FacilityName: Allegany County Health Department - Lois E. Jackson Unit

Address: 10102 Country Club Rd. Cumberland MD 21502

Phone: (301) 777-2290 Fax: (301) 777-5674




License:

3167

Contacts:

Adolescent Program




Deaf Services

904691 6/22/2012 6/22/2014General 6/27/2012





904692 6/22/2012 12/22/2012Initial 6/27/2012


Level III.5 -- Residential - 42

Emergency Contact: Mr. Robert Cassidy

(301) 777-2285 (301) 777-2290 (301) 777-5832



(301) 777-5600 (301) 777-5674



(301) 777-5600 (301) 777-5674



(301) 777-5680 (301) 777-2098


FacilityName: Allegany County Health Department Jail- Substance Abuse

Address: 14300 McMullen Hwy. SW Cumberland MD 21502

Phone: (301) 729-8540 Fax: (301) 777-2098




License:

3138

Contacts:







Deaf Services

904673 6/22/2012 6/22/2014General 6/27/2012


Level II.1.C -- Intensive Outpatient 300 -

Emergency Contact: Rebecca Meyers

(301) 759-5050 (301) 689-5276(301) 707-2688 (301) 777-2098



(301) 777-5600 (301) 777-5674



(301) 777-5600 (301) 777-5674



(301) 777-5680 (301) 777-2098


Sponsor: Sue Raver, MD

(301) 777-5600 (301) 777-5674


FacilityName: Allegany County Health Department- Outpatient Addictions Program

Address: 12503 Willowbrook Rd. Cumberland MD 21502

Phone: (301) 759-5050 Fax: (301) 777-2098




License:

3136

Contacts:

Adolescent Program







Deaf Services

904672 6/22/2012 6/22/2014General 6/27/2012





Emergency Contact: Rebecca Meyers

(301) 759-5050 (301) 689-5276(301) 707-2688 (301) 777-2098



(301) 777-5600 (301) 777-5674



(301) 777-5600 (301) 777-5674



(301) 777-5680 (301) 777-2098


FacilityName: Alternative Drug and Alcohol Counseling (ADAC)

Address: 994 National Highway LaVale MD 21502

Phone: (301) 729-0340 Fax: (301) 729-0341




License:

1742

Contacts:




903718 3/13/2009 9/13/2009Provisional 4/8/2009


Level 0.5 -- Early Intervention 50 -

Level I -- Outpatient 50 -

904294 8/22/2011 8/22/2013General 8/24/2011



Level 0.5 -- DWI Education 50 -

Emergency Contact: Ms. Deanna BaileyPhone Alt. PhoneCell Fax:

Owner: Ms. Deanna BaileyPhone Alt. PhoneCell Fax:

Program Director: Mr. James Reagan, LCSW-C

301-729-0340 301-729-0341


FacilityName: Cumberland Treatment Center

Address: 14701 National Highway Suite 5 and 6 Lavale MD 21502

Phone: (301) 687-0940 Fax: (301) 687-0948




License:

2849

Contacts:






904455 3/15/2012 3/15/2014General 3/19/2012



Level I.D -- Detox 15 -


Level II.D -- Ambulatory Detox 15 -

OMT -- Opioid Maintenance Therapy 50 -

904456 3/15/2012 9/15/2012Initial 3/19/2012



Emergency Contact: Mr. Nicol Lyon

(301) 687-0940 (301) 697-6208 (301) 687-0948


Medical Director: Mr. Anthony Bollino

(301) 687-0940 (301)687-0948


Owner: Joseph Procopio

301-687-0940 570-538-2567 301-687-0948


Program Director: Joseph Procopio

301-687-0940 570-538-2567 301-687-0948


Sponsor: Joseph Procopio

301-687-0940 570-538-2567 301-687-0948


FacilityName: Cumberland Treatment Center

Address: 14701 National Hwy, Suite 5 & 6 LaVale MD 21502

Phone: (301) 687-0940 Fax: (301) 687-0948




License:

3551

Contacts:







904952 5/21/2013 5/21/2015General 5/28/2013



Emergency Contact: Mr. Nicol Lyon

(301) 687-0940 (301) 697-6208 (301) 687-0948


Medical Director: Mr. William Russell

(301) 687-0940 (301) 687-0948


Owner: Mr. Barry Karlin

760-918-8700 760-918-8712


Program Director: Mr. Nicol Lyon

(301) 687-0940 (301) 697-6208 (301) 687-0948


Sponsor: Jerome Rhodes

610-388-8001 610-388-2446


FacilityName: Family Therapy Services

Address: 19022 National Highway NW Frostburg MD 21532

Phone: (301) 387-7998 Fax: (301) 387-7746




License:

3573

Contacts:



904965 6/19/2013 6/19/2015General 6/24/2013



904966 6/19/2013 12/19/2013Initial 6/24/2013



Emergency Contact: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Medical Director: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Owner: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Program Director: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Sponsor: Mr. Henry BrownPhone Alt. PhoneCell Fax:

FacilityName: Maryland Department of Juvenile Services Green Ridge Youth Center Treatment Program

Address: 10700 Fifteen Mile Creek Rd., NE Flintstone MD 21530

Phone: (301) 478-3069 Fax: (301) 478-3247




License:

2945

Contacts:

Adolescent Program



Deaf Services

904517 4/24/2012 4/24/2014General 4/25/2012


Level 0.5 -- Early Intervention - 40

Level I -- Outpatient - 40

Level II.1 -- Intensive Outpatient - 10

Emergency Contact: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664



(301) 777-5600 (301) 777-5674


Owner: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


Program Director: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


Sponsor: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


FacilityName: Maryland Department of Juvenile Services Savage Mountain Youth Center Treatment Program

Address: 164 Freedom Ln Lonaconing MD 21539

Phone: (301) 463-3378 Fax: (301) 463-3376




License:

2941

Contacts:

Adolescent Program



Deaf Services

904515 4/24/2012 4/24/2014General 4/25/2012




Emergency Contact: Ms. Tammy Fisher-Pullen

(301) 463-3378 (301) 707-5980 (301) 463-3376

[email protected]/md.usPhone Alt. PhoneCell Fax:


(301) 777-5600 (301) 777-5674


Owner: Ms. Tammy Fisher-Pullen

(301) 463-3378 (301) 707-5980 (301) 463-3376


Program Director: Ms. Tammy Fisher-Pullen

(301) 463-3378 (301) 707-5980 (301) 463-3376


Sponsor: Ms. Tammy Fisher-Pullen

(301) 463-3378 (301) 707-5980 (301) 463-3376


FacilityName: Western Correctional Institution- Addictions Treatment Protocol

Address: 13800 McMullen Highway, SW Cumberland MD 21502

Phone: (301) 729-7000 Fax: (301) 729-7024




License:

2717

Contacts:


Deaf Services

904370 12/1/2011 6/1/2012Initial 12/12/2011


Level I.C -- Outpatient 65 -

Emergency Contact: Sandra Davis-Hart

410-585-3726 410-764-5112


Owner: Sandra Davis-Hart

410-585-3726 410-764-5112


Program Director: Sandra Davis-Hart

410-585-3726 410-764-5112


FacilityName: Western Maryland Health System - Behavioral Health Services

Address: 12502 Willowbrook Rd. Cumberland MD 21502

Phone: (240) 964-8585 Fax: (240) 964-8586




License:

3226

Contacts:


904729 7/20/2012 7/20/2014General 7/25/2012



Emergency Contact: Mr. Jeffery O'Neal, LCPC

(301) 723-5175 (301) 546-4336 (301) 723-6485


Medical Director: E. Ethlers, MD

301-723-5030 301-723-6485


Owner: Mr. Jeffery O'Neal, LCPC

(301) 723-5175 (301) 546-4336 (301) 723-6485


Program Director: Mr. Jeffery O'Neal, LCPC

(301) 723-5175 (301) 546-4336 (301) 723-6485


Sponsor: Mr. Jeffery O'Neal, LCPC

(301) 723-5175 (301) 546-4336 (301) 723-6485


FacilityName: Western Maryland Recovery Services

Address: 11604 Bedford Rd. Cumberland MD 21502

Phone: (301) 724-1144 Fax: (301) 724-2268




License:

1794

Contacts:






903752 7/24/2009 1/24/2010Initial 7/29/2009


OMT -- Opioid Maintenance Therapy 101 0

903981 6/1/2010 6/1/2012General 6/1/2010




904659 6/6/2012 6/6/2014General 6/15/2012




Emergency Contact: Ms. Lezlie Reinhart, BS LPN

(301) 724-1144 (240) 362-3264 (301) 724-2268

[email protected]


Medical Director: Ms. Linda Fuller

301-724-1144 301-762-5300202-491-8943


Owner: Mr. Herbert HowardPhone Alt. PhoneCell Fax:

Program Director: Ms. Lezlie Reinhart, BS LPN

(301) 724-1144 (240) 362-3264 (301) 724-2268


Sponsor: Mr. Herbert HowardPhone Alt. PhoneCell Fax:

Anne Arundel County

FacilityName: 1A Maryland Driving School

Address: 1517 Ritchie Highway Arnold MD 21012

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2905

Contacts:




904493 3/30/2012 3/30/2014General 4/4/2012



Emergency Contact: Mr. Daryl HillPhone Alt. PhoneCell Fax:

Owner: Mr. Daryl HillPhone Alt. PhoneCell Fax:

Program Director: Mr. Albert Lewis, LCADC

(410) 481-0770 (410) 312-9273


Sponsor: Mr. Daryl HillPhone Alt. PhoneCell Fax:

FacilityName: A New Way Clinic, Inc.

Address: 2411 Crofton Ln, Suite 12 Crofton MD 21114

Phone: (410) 451-7323 Fax: (410) 451-8205




License:

3432

Contacts:




904870 1/22/2013 1/22/2015General 2/4/2013




Emergency Contact: Ms. Ina Foskey

(410) 451-7323 (301) 261-8179(410) 271-5032


Owner: Ms. Perri O'KeefePhone Alt. PhoneCell Fax:

Program Director: Ms. Perri O'KeefePhone Alt. PhoneCell Fax:

Sponsor: Ms. Perri O'KeefePhone Alt. PhoneCell Fax:

FacilityName: Addictions Recovery Inc. dba Hope House Treatment Center

Address: 26 Marbury Dr. Crownsville MD 21032

Phone: (410) 923-6700 Fax: (410) 923-6213



License:

2279

Contacts:





904092 11/1/2010 11/1/2012General 11/9/2010









Level III.7.D -- Residential Detox 15 -


904811 10/31/2012 10/31/2014General 11/5/2012











Emergency Contact: Marilyn Moran

(410) 849-2189 (410) 440-7078


Medical Director: Dr. Michael Hayes

(410) 225-8240 (410) 225-8230(410) 599-8363 (410) 225-8209


Owner: Mr. Peter D'Souza

(410) 923-6700 x103 (410) 991-6642 (410) 923-6213


Program Director: Mr. Peter D'Souza

(410) 923-6700 x103 (410) 991-6642 (410) 923-6213


Sponsor: Mr. Peter D'Souza

(410) 923-6700 x103 (410) 991-6642 (410) 923-6213



FacilityName: Alcohol & Drug Education, Prevention & Treatment (ADEPT)

Address: 8028 Ritchie Highway, Suite 308 Pasadena MD 21122

Phone: (410) 761-0725 Fax: (410) 761-2412




License:

2503

Contacts:

Adolescent Program




904239 6/15/2011 6/15/2013General 6/20/2011





904986 7/26/2013 7/26/2015General 7/29/2013





Emergency Contact: Mr. Eugene Bartlinski, LCSW-C,LCADC

410-761-0725 410-404-2628 410-761-2412

[email protected]


Owner: Mr. Eugene Bartlinski, LCSW-C,LCADC

410-761-0725 410-404-2628 410-761-2412


Program Director: Mr. Eugene Bartlinski, LCSW-C,LCADC

410-761-0725 410-404-2628 410-761-2412

[email protected]


Sponsor: Mr. Eugene Bartlinski, LCSW-C,LCADC

410-761-0725 410-404-2628 410-761-2412

[email protected]


FacilityName: Alcohol and Drug Intervention

Address: 7458 Balt. Annapolis Blvd. 2nd Floor Glen Burnie MD 21061

Phone: (410) 787-2288 Fax: (410) 787-9479




License:

836

Contacts:




DWI Education

6687 1/30/2003 1/30/2005General


Level I -- Outpatient - -

12875 2/11/2005 2/11/2007General



903237 2/21/2007 2/21/2009General 4/18/2007


Level 0.5 -- Early Intervention 85 0


904323 10/24/2011 10/24/2013General 10/26/2011




904658 5/22/2012 5/22/2014General 6/15/2012





DWI Program Director: Ms. Deborah HayghePhone Alt. PhoneCell Fax:

Emergency Contact: Ms. Mindy Fleetwood

410-787-2288 443-848-2089 410-787-9479


Owner: Mr. William Hayghe

410-787-2288 410-787-9479


Program Director: Mr. Daniel Coleman

410-787-2288 410-787-9479


Sponsor: Mr. William Hayghe

410-787-2288 410-787-9479


FacilityName: Alcohol and Drug Recovery

Address: 8 N. Crain Highway, Unit C Glen Burnie MD 21061

Phone: (410) 768-5242 Fax: (410) 787-1942




License:

3803

Contacts:






905120 1/15/2014 1/15/2016General 1/23/2014






Emergency Contact: Mr. Fritz Schmidt

(410) 268-6800 (410) 268-8637


Owner: Mr. Fritz Schmidt

(410) 268-6800 (410) 268-8637


Program Director: Mr. Fritz Schmidt

(410) 268-6800 (410) 268-8637


Sponsor: Mr. Fritz Schmidt

(410) 268-6800 (410) 268-8637



Address: 929 W. St., Suite 207 Annapolis MD 21401

Phone: (410) 268-6800 Fax: (410) 268-7598




License:

3805

Contacts:






905121 1/15/2014 1/15/2016General 1/23/2014







(410) 268-6800 (410) 268-8637


Medical Director: Robert Herman, MD

410-268-6800 410-268-8637



(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637


FacilityName: Anne Arundel Counseling

Address: 1298 Bay Dale Dr. Suite 216 Arnold MD 21012

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

216

Contacts:


15276 12/15/2005 6/15/2006InitialNew Program, General Certificate? Dates: 12/15/05--12/28/06?, wrong

zip

1/13/2006



FacilityName: Anne Arundel Counseling, Inc.

Address: 153 Mayo Rd., Suite 201 Edgewater MD 21037

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

1664

Contacts:

Adolescent Program







903667 9/22/2008 3/22/2009Initial 10/23/2008




903974 5/18/2010 5/18/2012General 5/18/2010




904685 6/20/2012 6/20/2014General 6/27/2012




Emergency Contact: Ms. Rebecca Mitch

(410) 768-5988 (410) 768-5989


Owner: Ms. Rebecca Mitch

(410) 768-5988 (410) 768-5989


Program Director: Ms. Rebecca Mitch

(410) 768-5988 (410) 768-5989



Address: 200 Forbes St., Suite 303 Annapolis MD 21401

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

3157

Contacts:

Adolescent Program







904684 6/20/2012 6/20/2014General 6/27/2012





(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989


Program Director: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422



Address: 3032 Mitchellville Rd. Bowie MD 20716

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

3732

Contacts:

Adolescent Program



905072 11/10/2013 5/10/2014Initial 11/21/2013





Emergency Contact: Rebecca McKee

410-768-5988 410-768-5517443-223-7549 410-768-5989


Owner: Rebecca McKee

410-768-5988 410-768-5517443-223-7549 410-768-5989


Program Director: Rebecca McKee

410-768-5988 410-768-5517443-223-7549 410-768-5989



Address: 7310 Ritchie Highway Suite 1009 Glen Burnie MD 21061

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

217

Contacts:

Adolescent Program







12535 12/28/2004 12/28/2006General



15275 12/12/2005 12/28/2006Generalthis certificate appears to replace existing certificate tha had different

suite #

1/13/2006



903975 5/18/2010 5/18/2012General 5/18/2010




904687 6/20/2012 6/20/2014General 6/27/2012





(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989


FacilityName: Anne Arundel County Health Department- Adolescent & Family Services

Address: 122 N. Langley Rd. Glen Burnie MD 21060

Phone: (410) 222-6725 Fax: (410) 222-6748




License:

2871

Contacts:

Adolescent Program





904467 3/23/2012 9/23/2012Initial 3/28/2012





Emergency Contact: Ms. Mary Whitehouse

(410) 222-76725 (636) 485-8958 (410) 222-6748


Medical Director: Babel Imanoel, D. O.

410-222-7428 410-222-7655


Owner: Dr. Angela Wakhweya

410-222-7095 410-222-4436

aahealth.orgPhone Alt. PhoneCell Fax:

Program Director: Ms. Mary Whitehouse

(410) 222-76725 (636) 485-8958 (410) 222-6748


Sponsor: Dr. Angela Wakhweya

410-222-7095 410-222-4436


FacilityName: Anne Arundel County Health Department Adult Addictions

Address: 122 N. Langley Rd. Glen Burnie MD 21060

Phone: (410) 222-0100 Fax: (410) 222-0116




License:

2869

Contacts:








Deaf Services

904466 3/23/2012 3/23/2014General 3/28/2012




Emergency Contact: Ms. Barbara Hatch

(410) 643-8788 (410) 533-0894 (410) 533-0894


Medical Director: Babel Imanoel, D. O.

410-222-7428 410-222-7655



410-222-7095 410-222-4436


Program Director: Ms. Barbara Hatch

(410) 643-8788 (410) 533-0894 (410) 533-0894



410-222-7095 410-222-4436


FacilityName: Anne Arundel Medical Center (Pathways)

Address: 2620 Riva Rd. Annapolis MD 21401

Phone: (410) 573-5400 Fax: (410) 573-5401


License:

Contacts:

10112 3/1/2004 3/1/2006General


OMT -- Opioid Maintenance Therapy - -

903074 8/18/2006 8/18/2008General 8/28/2006



903106 8/18/2006 8/18/2008General 9/14/2006


Level 0.5 -- Early Intervention - -


Level I.D -- Detox 60 60


Level II.5 -- Partial Hospitalization 32 8

Level II.D -- Ambulatory Detox 50 50

Level III.7 -- Residential 32 8

Level III.7.D -- Residential Detox 32 0

903685 12/29/2008 12/29/2010General 1/9/2009








DWI Program Director: Ms. Helen Reines

(410) 573-5454 (410) 573-5400(443) 871-4078 (410) 573-5401


Emergency Contact: Ms. Helen Reines

(410) 573-5454 (410) 573-5400(443) 871-4078 (410) 573-5401


Medical Director: Paul Giannandrea, M.D.

410-573-5435 410-573-5401


Owner: Ms. Helen Reines

(410) 573-5454 (410) 573-5400(443) 871-4078 (410) 573-5401


Program Director: Ms. Helen Reines

(410) 573-5454 (410) 573-5400(443) 871-4078 (410) 573-5401


Sponsor: Ms. Helen Reines

(410) 573-5454 (410) 573-5400(443) 871-4078 (410) 573-5401




685

Adolescent Program





DWI Education





904431 2/13/2012 2/13/2014General 2/17/2012










FacilityName: B.N.J. Health Services, LLC

Address: 7541 Ritchie Highway Glen Burnie MD 21061

Phone: (410) 553-0506 Fax: (410) 553-0507




License:

1971

Contacts:





903879 12/23/2009 6/23/2010Initial 12/23/2009




904141 1/24/2011 1/24/2013General 1/25/2011




904867 1/2/2013 1/2/2015General 1/14/2013




Emergency Contact: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


Medical Director: Dennis Scurry

410-751-7771 410-751-7736


Owner: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


Program Director: Ms. Sheryl Jennings

(443) 744-9802 (410) 655-0618


Sponsor: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


FacilityName: BPH, Inc. t/a Starting Point

Address: 4109 Ritchie Highway Brooklyn Park MD 21225

Phone: (410) 609-0040 Fax: (410) 609-2004




License:

1469

Contacts:






903565 3/11/2008 9/11/2008Initial 4/2/2008



OMT.D -- Detox 150 0

903771 9/14/2009 9/14/2011General 9/25/2009




OMT.D -- Detox 50 0

904425 1/26/2012 1/26/2014General 2/1/2012




905114 1/26/2014 1/26/2016General 12/27/2013




Emergency Contact: Mr. Brian PrichardPhone Alt. PhoneCell Fax:

Medical Director: Susan Voss, M.D.

301-645-5538 301-645-5539


Owner: Mr. C. Herb Howard

240-388-1168


Program Director: Mr. Neal Berch

(301) 645-5538


Sponsor: Mr. Neal Berch

(301) 645-5538


FacilityName: Chrysalis House, Inc.

Address: 1570 Crownsville Rd. Crownsville MD 21032

Phone: (410) 974-6829 Fax: (410) 974-6350



License:

1302

Contacts:

Adolescent Program




903455 11/26/2007 11/26/2009General 11/29/2007



903908 2/16/2010 8/16/2010Initial 2/16/2010




903917 3/4/2010 3/4/2012General 3/4/2010



904164 3/8/2011 3/8/2013General 3/10/2011





904760 9/4/2012 9/4/2014Initial 9/6/2012




904894 3/4/2013 3/4/2015General 3/7/2013







Emergency Contact: Ms. Lana Dreyfuss

410-974-6829 301-649-7469240-515-5122 410-974-6350


Medical Director: Aliya Jones, MD Phone Alt. PhoneCell Fax:

Owner: Ms. Lorene LakePhone Alt. PhoneCell Fax:

Program Director: Ms. Lorene LakePhone Alt. PhoneCell Fax:

Sponsor: Ms. Lorene LakePhone Alt. PhoneCell Fax:




FacilityName: Congruent Counseling Services, LLC

Address: 804 Landmark Dr., Suite 118 Glen Burnie MD 21061

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

3478

Contacts:





904901 2/28/2013 8/28/2013Initial 3/26/2013



905018 8/27/2013 8/27/2015General 9/3/2013



Emergency Contact: Mr. Mark Donavan

410-750-8067 443-535-9743240-462-4547 410-750-8068


Medical Director: Dr. Joshua Rosenthal

(410) 740-8066 (410) 740-8068


Owner: Mr. Mark Donavan

410-750-8067 443-535-9743240-462-4547 410-750-8068


Program Director: Mr. Mark Donavan

410-750-8067 443-535-9743240-462-4547 410-750-8068


Sponsor: Mr. Mark Donavan

410-750-8067 443-535-9743240-462-4547 410-750-8068


FacilityName: Damascus House, Inc.

Address: 4203 Ritchie Highway Baltimore MD 21225

Phone: (410) 789-7446 Fax: (410) 789-1987




License:

1455

Contacts:



903555 2/18/2008 2/18/2010General 3/24/2008



904122 12/6/2010 12/6/2012General 12/8/2010



904123 12/6/2010 6/6/2011Initial 12/8/2010



904247 6/28/2011 6/28/2013General 7/1/2011



904857 12/3/2012 12/3/2014General 12/5/2012




Emergency Contact: Carroll Matanoski

410-789-7446 410-789-1987


Emergency Contact: Duane Harrell

410-789-7446 410-409-1777 410-789-1987


Owner: Carroll Matanoski

410-789-7446 410-789-1987


Program Director: Carroll Matanoski

410-789-7446 410-789-1987


FacilityName: Deale One-Step Recovery Services, LLC

Address: 5419 Deale-Churchton Rd., Suite 102 Deale MD 20733

Phone: (443) 607-6207 Fax: (443) 607-6208




License:

2818

Contacts:






904436 2/13/2012 2/13/2014General 2/29/2012





Emergency Contact: Mr. Karl Cowan

443-607-6207 301-335-6195 240-619-5897


Owner: Ms. Karen Kemp

443-607-6207 443-6076208


Program Director: Ms. Karen Kemp

443-607-6207 443-6076208


Sponsor: Ms. Karen Kemp

443-607-6207 443-6076208


FacilityName: E.J.A.L. Health Services, Inc.

Address: 7229 Ritchie Highway Glen Burnie MD 21060

Phone: (410) 761-3686 Fax: (410) 761-5291




License:

3286

Contacts:


904767 9/14/2012 9/14/2014General 9/18/2012




Emergency Contact: Dr. Leon Flemembaum

410-761-3686 410-761-5291


Medical Director: Dr. Leon Flemembaum

410-761-3686 410-761-5291


Owner: Dr. Leon Flemembaum

410-761-3686 410-761-5291


Program Director: Ron Abigill

410-761-3686 443-636-6141 410-761-5291


Sponsor: Dr. Leon Flemembaum

410-761-3686 410-761-5291


FacilityName: Employee Assistance Program

Address: 7272 Park Circle Dr. Suite 170 Hanover MD 21076

Phone: (410) 712-4444 Fax: (410) 712-4216




License:

3600

Contacts:



Deaf Services

904983 7/19/2013 1/19/2014Initial 7/23/2013



Emergency Contact: Marcia Lang

410-712-4444 301-980-1776301-821-0413 410-712-4216


Medical Director: Forrest Riddle, M.D. Phone Alt. PhoneCell Fax:

Owner: Marcia Lang

410-712-4444 301-980-1776301-821-0413 410-712-4216


Program Director: Marcia Lang

410-712-4444 301-980-1776301-821-0413 410-712-4216


FacilityName: Ferry Point Assessment and Treatment Services

Address: 1113 Odenton Rd. Odenton MD 21113

Phone: (410) 674-8500 Fax: (410) 674-3771




License:

2162

Contacts:

Adolescent Program







903604 6/10/2008 12/10/2008Initial 6/17/2008



903679 12/3/2008 6/3/2009Initial 12/10/2008



904022 7/12/2010 7/12/2012General 7/19/2010




904721 7/13/2012 7/13/2014General 7/17/2012




Emergency Contact: Mr. Francis Ledbetter

(410) 674-8500 (410) 362-3659(443) 822-9056 (410) 519-9762


Owner: Mr. Francis Ledbetter

(410) 674-8500 (410) 362-3659(443) 822-9056 (410) 519-9762


Program Director: Mr. Francis Ledbetter

(410) 674-8500 (410) 362-3659(443) 822-9056 (410) 519-9762


Sponsor: Mr. Francis Ledbetter

(410) 674-8500 (410) 362-3659(443) 822-9056 (410) 519-9762


FacilityName: First Step Recovery Center, Inc.

Address: 1419 Forest Dr., Suite 104 Annapolis MD 21403

Phone: (410) 280-2333 Fax: (410) 280-9866




License:

3811

Contacts:






905124 1/15/2014 1/15/2016General 1/23/2014






Emergency Contact: Ms. Leigh RaganPhone Alt. PhoneCell Fax:

Owner: Ms. Leigh RaganPhone Alt. PhoneCell Fax:

Program Director: Ms. Leigh RaganPhone Alt. PhoneCell Fax:

FacilityName: Gaudenzia Inc. Patuxent Institute Regimented Offenders Treatment Program

Address: 7555 Waterloo Rd. Jessup MD 20794

Phone: (410) 799-3400 Fax: (410) 799-8866




License:

2443

Contacts:




904204 4/11/2011 4/11/2013General 4/26/2011


Level III.5.C -- Residential 100 -

904932 4/25/2013 4/25/2015General 4/26/2013



Emergency Contact: Sara Sommen

(410) 367-5551 (443) 878-4231 (410) 799-8866


Owner: Sara Sommen

(410) 367-5551 (443) 878-4231 (410) 799-8866


Program Director: Sara Sommen

(410) 367-5551 (443) 878-4231 (410) 799-8866


FacilityName: Gaudenzia/Women's Intensive Treatment Program at Maryland Correctional Institute

Address: 7943 Brockbridge Rd. Jessup MD 20794

Phone: (410) 379-9250 Fax: (410) 367-4447




License:

1433

Contacts:



903543 1/23/2008 7/23/2008Initial 3/7/2008



903738 4/27/2009 4/27/2011General 6/17/2009



Emergency Contact: Pat O'Connor

410-799-3400 443-878-4231 410-799-8866


Owner: Sandi Davis

410-585-3725 443-204-5734 410-764-5150


Program Director: Pat O'Connor

410-799-3400 443-878-4231 410-799-8866


FacilityName: Hawkes Counseling Services

Address: 837 Washington Blvd. Suite B Baltimore MD 21230

Phone: (410) 298-8046 Fax: (410) 496-4153




License:

2327

Contacts:




904130 1/6/2011 1/6/2013General 1/11/2011



904131 1/6/2011 7/6/2011Initial 1/11/2011



904168 2/7/2011 8/7/2011Initial 3/10/2011




904689 6/26/2012 6/26/2014General 6/27/2012





Emergency Contact: Vanessa Hawkes

410-298-8046 443-904-6675 410-636-2772


Owner: Vanessa Hawkes

410-298-8046 443-904-6675 410-636-2772


Program Director: Vanessa Hawkes

410-298-8046 443-904-6675 410-636-2772


Sponsor: Vanessa Hawkes

410-298-8046 443-904-6675 410-636-2772



Address: 3303 Edgewood St. Baltimore MD 21216

Phone: (410) 298-8046 Fax: (410) 496-8074




License:

127

Contacts:



9570 1/5/2004 8/4/2005General



14918 10/3/2005 10/3/2007GeneralCertificate being held, delinquent SAMIS reporting

12/14/2005



904128 1/6/2011 1/6/2013General 1/11/2011



904129 1/6/2011 7/6/2011Initial 1/11/2011



904690 6/26/2012 6/26/2014General 6/27/2012





410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772



Address: 4109 Ritchie Highway 2nd Floor Brooklyn MD 21225

Phone: (410) 298-8046 Fax: (410) 636-2772




License:

128

Contacts:



8148 8/4/2003 8/4/2005General



14636 8/16/2005 8/16/2007GeneralCerificate being held: delinquent SAMIS reporting

11/3/2005



903476 10/25/2007 10/25/2009General 12/17/2007





410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772


FacilityName: Integrative Counseling, LLC

Address: 804 Landmark Dr., Suite 118 Glen Burnie MD 21061

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

3487

Contacts:






904907 3/28/2013 3/28/2015General 3/26/2013




Emergency Contact: Mr. Mark Donovan

(410) 740-8066 (240) 462-4547


Owner: Mr. Mark Donovan

(410) 740-8066 (240) 462-4547


Program Director: Mr. Mark Donovan

(410) 740-8066 (240) 462-4547


Sponsor: Mr. Mark Donovan

(410) 740-8066 (240) 462-4547


FacilityName: Maryland Education Institute and Title Service, LLC

Address: 1157 Reece Rd. Severn MD 21144

Phone: (301) 377-6869 Fax: (410) 551-6367




License:

3722

Contacts:



905065 10/11/2013 4/11/2014Initial 10/22/2013



Emergency Contact: Saunders Ebuwebi, MD

301-377-6869 410-521-7746410-206-5473 410-551-6367


Owner: Casey McCall

301-377-6869 410-551-6367


Program Director: Saunders Ebuwebi, MD

301-377-6869 410-521-7746410-206-5473 410-551-6367


Sponsor: Casey McCall

301-377-6869 410-551-6367


FacilityName: McClanahan & Associates

Address: 1454 Balt. Annapolis Blvd. Arnold MD 21012

Phone: (410) 626-7550 Fax: (410) 626-8805




License:

499

Contacts:



DWI Education

12232 11/22/2004 11/22/2006General



903409 8/9/2007 8/9/2009General 11/8/2007



904283 7/28/2011 7/28/2013General 8/3/2011




904985 7/26/2013 7/26/2015General 7/29/2013




Emergency Contact: John McClanahan, Ph.D., LCADC

410-626-7550 410-867-0507410-279-8341 410-626-8805

[email protected]


Owner: John McClanahan, Ph.D., LCADC

410-626-7550 410-867-0507410-279-8341 410-626-8805


Program Director: John McClanahan, Ph.D., LCADC

410-626-7550 410-867-0507410-279-8341 410-626-8805

[email protected]


FacilityName: New Life Addiction Counseling Services, Inc.

Address: 2528 Mountain Rd. , Suite 204 Pasadena Md 21122

Phone: (410) 255-4475 Fax: (410) 255-6277




License:

861

Contacts:








Deaf Services

903267 5/3/2007 5/3/2009General 5/21/2007




904011 6/28/2010 6/28/2012General 7/8/2010



Level II.1 -- Intensive Outpatient - -

904850 11/19/2012 11/19/2014General 11/29/2012




Emergency Contact: Ms. Beverly ErvinPhone Alt. PhoneCell Fax:

Emergency Contact: Ms. Gina Slocum

410-255-4475 410-960-9238410-960-9238 410-255-6277


Medical Director: Myun-Ki Kim, M.D.

(410) 255-4475 (410) 255-4475


Medical Director: N. Gagliardi, M.D.

(410) 255-4475 (410) 255-4475


Owner: Ms. Beverly ErvinPhone Alt. PhoneCell Fax:

Program Director: Ms. Beverly ErvinPhone Alt. PhoneCell Fax:

Sponsor: Ms. Beverly ErvinPhone Alt. PhoneCell Fax:

FacilityName: Pascal Substance Abuse Education and Prevention Program

Address: 570 H Ritchie Highway Severna Park MD 21146

Phone: (410) 975-0067 Fax: (410) 975-0204




License:

1761

Contacts:

Adolescent Program





DWI Education

903728 4/16/2009 10/16/2009Initial 6/17/2009



904300 8/22/2011 2/22/2012Initial 8/24/2011



904301 8/22/2011 8/22/2013General 8/24/2011



904758 8/29/2012 8/29/2014General 9/4/2012




Emergency Contact: Carol Gibson

410-975-0067 410-507-5578 410-975-0204


Emergency Contact: Adel O'Rourke

410-975-0067 410-643-5900410-991-8620 410-975-0204


Owner: Robert PascalPhone Alt. PhoneCell Fax:

Program Director: Shauna Rykeil, LCSW-C, LCADC

410-975-0067 410-975-0204


Sponsor: Robert PascalPhone Alt. PhoneCell Fax:

FacilityName: Recovery Resources Group, Inc.

Address: 2-B Crain Highway, S.W. Glen Burnie MD 21061

Phone: (410) 787-0964 Fax: (410) 766-4210




License:

3049

Contacts:




904441 3/1/2012 9/1/2012Initial 3/5/2012



904598 5/11/2012 5/11/2014General 5/16/2012




Emergency Contact: Karen Sykes-Dill

410-787-0964 410-960-8106


Owner: Karen Sykes-Dill

410-787-0964 410-960-8106


Program Director: Karen Sykes-Dill

410-787-0964 410-960-8106


Sponsor: Karen Sykes-Dill

410-787-0964 410-960-8106


FacilityName: Samaritan House

Address: 2610 Greenbriar Ln Annapolis MD 21401

Phone: (410) 269-5605 Fax: (410) 268-6965




License:

708

Contacts:



903029 7/17/2006 7/17/2008General 8/3/2006



903763 8/10/2009 8/10/2011General 8/28/2009



904637 5/30/2012 5/30/2014General 6/5/2012



Emergency Contact: Mr. Michael Goldfaden

(410) 269-5605 (410) 268-6965


Owner: Mr. Michael Goldfaden

(410) 269-5605 (410) 268-6965


Program Director: Mr. Michael Goldfaden

(410) 269-5605 (410) 268-6965


SAMIS Liaison: Mr. Michael Goldfaden

(410) 269-5605 (410) 268-6965


Sponsor: Mr. Michael Goldfaden

(410) 269-5605 (410) 268-6965


FacilityName: Samaritan House


Phone: (410) 269-5605 Fax: (410) 268-6965




License:

3449

Contacts:



904882 2/7/2013 8/7/2013Initial 2/8/2013




(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965


FacilityName: Samaritan House, Inc.


Phone: (410) 269-5605 Fax: (410) 268-6965




License:

3643

Contacts:



905015 8/7/2013 2/7/2014Initial 8/22/2013




(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965



(410) 269-5605 (410) 268-6965


FacilityName: Second Genesis MCIW Program

Address: 7943 Brock Bridge Rd. Jessup MD 20794

Phone: (410) 540-2987 Fax: (410) 540-5588




License:

2483

Contacts:



904227 5/24/2011 5/24/2013General 6/2/2011





Emergency Contact: Loretta Elizalde

410-540-2987 410-241-6006240-429-9396


Medical Director: Ms. Mary Bracken

301-563-1545 240-304-0165 301-563-1546


Owner: Mark Segal

301-563-1545 301-563-1546


Program Director: Mark Segal

301-563-1545 301-563-1546


Sponsor: Mark Segal

301-563-1545 301-563-1546


FacilityName: Second Genesis, Inc. Co-Occurring Disorders Unit

Address: 107 Circle Dr. / Annex Crownsville MD 21032

Phone: (410) 923-0401 Fax: (301) 621-0744




License:

880

Contacts:






903300 6/7/2007 6/7/2009General 7/11/2007




904037 8/6/2010 8/6/2012General 8/10/2010







Emergency Contact: Ms. Lynn Burke-Reyes

(410) 923-0401 (240) 432-7775(240) 304-0163


Medical Director: Ms. Mary Claire Bracken

301-563-1545 240-304-0165 301-563-1546


Owner: Ms. Lynn Burke-Reyes

(410) 923-0401 (240) 432-7775(240) 304-0163


Program Director: Ms. Lynn Burke-Reyes

(410) 923-0401 (240) 432-7775(240) 304-0163


Sponsor: Ms. Lynn Burke-Reyes

(410) 923-0401 (240) 432-7775(240) 304-0163


FacilityName: Serenity Acres Treatment Center

Address: 2010 St. Stephens Woods Crownsville MD 21032

Phone: (410) 721-6353 Fax: (443) 279-4247



License:

3419

Contacts:




904861 12/10/2012 6/10/2013Initial 12/11/2012




904967 6/12/2013 6/12/2015General 6/24/2013




905034 7/26/2013 1/26/2014Initial 9/6/2013




905087 12/1/2013 12/1/2015General 12/5/2013




905088 12/1/2013 12/1/2015General 12/5/2013







Level III.5 -- Residential - -

Emergency Contact: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Medical Director: Alan WeissPhone Alt. PhoneCell Fax:

Owner: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Program Director: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Sponsor: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802




Address: 2015 Martins Grant Court Crownsville MD 21032

Phone: (410) 721-6353 Fax: (443) 279-4247




License:

3571

Contacts:




904964 6/12/2013 12/12/2013Initial 6/24/2013




905013 8/13/2013 8/13/2015General 8/19/2013




905089 12/1/2013 12/1/2015General 12/5/2013







905090 12/1/2013 12/1/2015General 12/5/2013






240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



Owner: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



Address: 2015 Martin's Grant Court Crownsville MD 21032

Phone: (410) 721-6353 Fax: (443) 279-4247




License:

3675

Contacts:




905035 7/26/2013 1/26/2014Initial 9/6/2013





240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



Owner: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Program Director: Mr. Charles BosleyPhone Alt. PhoneCell Fax:


240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802




Phone: (410) 721-6353 Fax: (443) 279-4247




License:

3823

Contacts:




905131 2/20/2014 8/20/2014Initial 2/26/2014





Level II.5 -- Partial Hospitalization - -






240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Owner: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Program Director: Melanie Galloway

410-721-6353 443-279-4247



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


FacilityName: Serenity Acres Treatment Center, LLC


Phone: (410) 721-6353 Fax: (410) 721-6289




License:

2340

Contacts:




904138 1/21/2011 7/21/2011Initial 1/25/2011



904454 3/14/2012 3/14/2014General 3/19/2012



904802 10/19/2012 4/19/2013Initial 11/1/2012



904929 4/25/2013 4/25/2015General 4/26/2013



Emergency Contact: Lawrence Adler

(240) 277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



Owner: Lawrence Adler

(240) 277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Program Director: Lawrence Adler

(240) 277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


FacilityName: Serenity Acres Treatment Center, LLC

Address: 2010 St. Stephens Woods Dr. Crownsville MD 21032

Phone: (410) 721-6353 Fax: (410) 721-6289




License:

3490

Contacts:




904909 3/18/2013 9/18/2013Initial 3/26/2013




905012 8/13/2013 8/13/2015General 8/19/2013





240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


Owner: Larry Adler

240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802



240-277-4802 (240) 277-4802(240) 277-4802 (240) 277-4802


FacilityName: The Road to Recovery

Address: 600 E. Ordinance Rd. Glen Burnie MD 21060

Phone: (410) 222-6350 Fax: (410) 222-0116




License:

2826

Contacts:







Deaf Services

904440 2/29/2012 8/29/2012Initial 3/5/2012




904803 10/24/2012 10/24/2014General 11/1/2012




Emergency Contact: Ms. Barbara Hatch

(410) 643-8788 (410) 533-0894 (410) 533-0894


Medical Director: Lee Gresser

410-766-9673


Medical Director: Goodwin Robert

410-222-7095



410-222-7095 410-222-4436


Program Director: Ms. Barbara Hatch

(410) 643-8788 (410) 533-0894 (410) 533-0894



410-222-7095 410-222-4436


FacilityName: We Care Arundel Health Services

Address: 13 Aquahart Rd. Suite A Glen Burnie MD 21061

Phone: (410) 766-9668 Fax: (410) 766-9673




License:

460

Contacts:






8146 8/4/2003 8/4/2005General 5/30/2005



14797 9/20/2005 9/20/2007General 11/3/2005



903415 10/29/2007 10/29/2009General 11/8/2007



903915 3/4/2010 3/4/2012General 3/4/2010




904451 3/7/2012 3/7/2014General 3/12/2012




Director: Ms. Cindy ShawPhone Alt. PhoneCell Fax:

Emergency Contact: Mr. Brent Bowman

(410) 259-4985 (410) 781-4801



410-766-9673


Owner: Mr. Michael Kaplan

(410) 539-5224 (410) 363-7792


Program Director: Mr. Daniel Riberkof

(410) 766-9668 (410) 766-9673


Sponsor: Mr. Michael Kaplan

(410) 539-5224 (410) 363-7792


FacilityName: We Care Arundel Health Services

Address: 13A Aquahart Rd. Suite A Glen Burnie MD 21061

Phone: (410) 766-9668 Fax: (410) 781-4158




License:

3846

Contacts:





905145 4/23/2014 4/23/2016General 5/21/2014





(410) 259-4985 (410) 781-4801



410-766-9673


Owner: Mr. Martin Kaplan

(410) 404-7938 (410) 538-4249



(410) 766-9668 (410) 766-9673


Sponsor: Mr. Daniel Riberkof

(410) 766-9668 (410) 766-9673


Baltimore City


Address: 900 E. 33rd St. Baltimore MD 21218

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2888

Contacts:




904479 3/30/2012 3/30/2014General 4/2/2012






(410) 481-0770 (410) 312-9273



FacilityName: A Step Forward, Inc.

Address: 800 N. Fulton Ave., Suite 100 Baltimore MD 21217

Phone: (410) 462-2002 Fax: (410) 225-9746




License:

2297

Contacts:




904110 10/22/2010 4/22/2011Initial 11/18/2010





904764 9/14/2012 9/14/2014General 9/18/2012





Emergency Contact: Ms. Lela Campbell

(410) 462-6001 (410) 852-0329 (410) 225-3676


Owner: Ms. Lela Campbell

(410) 462-6001 (410) 852-0329 (410) 225-3676


Program Director: Ms. Lela Campbell

(410) 462-6001 (410) 852-0329 (410) 225-3676


Sponsor: Ms. Lela Campbell

(410) 462-6001 (410) 852-0329 (410) 225-3676



Address: 803 N. Fulton Ave. Baltimore MD 21217

Phone: (410) 462-6001 Fax: (443) 708-1443




License:

3422

Contacts:



904863 12/11/2012 12/11/2014General 12/12/2012





(410) 462-6001 (410) 852-0329 (410) 225-3676



(410) 462-6001 (410) 852-0329 (410) 225-3676


Program Director: Mr. Edward Williams

(443) 386-9080



(410) 462-6001 (410) 852-0329 (410) 225-3676




Phone: (410) 462-6001 Fax: (443) 708-1443




License:

3424

Contacts:



904864 12/11/2012 12/11/2014General 12/12/2012




(410) 462-6001 (410) 852-0329 (410) 225-3676



(410) 462-6001 (410) 852-0329 (410) 225-3676


Program Director: Ms. Lela Campbell

(410) 462-6001 (410) 852-0329 (410) 225-3676



(410) 462-6001 (410) 852-0329 (410) 225-3676


FacilityName: ADAPT Cares

Address: 3101 Towanda Ave. Baltimore MD 21215

Phone: (410) 383-4962 Fax: (410) 383-4920




License:

2394

Contacts:






Deaf Services

904175 3/28/2011 3/28/2013General 3/28/2011





Emergency Contact: Alison SpeightM.A, LCADC

(410) 383-4995 (443) 567-6738 (410) 383-4920

[email protected]


Medical Director: Dr. Chukwuemeka UfomaduPhone Alt. PhoneCell Fax:

Owner: Alison SpeightM.A, LCADC

(410) 383-4995 (443) 567-6738 (410) 383-4920


Program Director: Randy Reed, LCSW-C

(410) 383-4995 (410) 383-4920


Sponsor: Randy Reed, LCSW-C

(410) 383-4995 (410) 383-4920


FacilityName: Addiction Treatment Services at Johns Hopkins Bayview-MFL Building

Address: 5200 Eastern Ave. Baltimore City MD 21224

Phone: (410) 550-0100 Fax: (410) 550-0060




License:

2388

Contacts:








Deaf Services

904172 11/10/2009 11/10/2011General 3/15/2011



Medical Director: Van King, MD

(410) 550-0146 (410) 550-0060


Owner: Richard Bennett, MD

(410) 550-0100 (410) 550-0925


Program Director: Jim Graham

(410) 550-0004 (410) 550-0060


Sponsor: Jim Graham

(410) 550-0004 (410) 550-0060


FacilityName: Addiction Treatment Services of Hopkins Bayview

Address: 5510 Nathan Shock Dr. Suite 5510 Baltimore MD 21224

Phone: (410) 550-0133 Fax: (410) 550-2957




License:

91

Contacts:






Deaf Services

904171 3/14/2011 3/14/2013General 3/14/2011




Emergency Contact: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


Medical Director: Eric Strain, M.D.

(410) 550-0035 (410) 550-0033


Owner: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


Program Director: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


Sponsor: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


FacilityName: Addicts Changing Together- Substance Abuse Program - ACT-SAP-Females

Address: 531 E. Madison St. Baltimore MD 21202

Phone: (410) 209-4129 Fax: (410) 209-4269




License:

3610

Contacts:






Deaf Services

904990 8/1/2013 8/1/2015General 8/9/2013



Emergency Contact: Mr. Mohammad Ahmad

(410) 209-4129 (410) 209-4094(410) 807-2316 (410) 209-4269



410-585-3726 410-764-5112


Program Director: Mr. Mohammad Ahmad

(410) 209-4129 (410) 209-4094(410) 807-2316 (410) 209-4269


Sponsor: Sandra Davis-Hart

410-585-3726 410-764-5112


FacilityName: Addicts Changing Together Substance Abuse Program-ACT-SAP-Males


Phone: (410) 209-4129 Fax: (410) 209-4269




License:

2597

Contacts:





Deaf Services

904296 8/22/2011 8/22/2013General 8/24/2011



905010 8/1/2013 8/1/2015General 8/19/2013



Emergency Contact: Mr. Mohammad Ahmad

(410) 209-4129 (410) 209-4094(410) 807-2316 (410) 209-4269


Owner: Patrice Miller

410-209-4129 410-209-4269



410-585-3726 410-764-5112


Program Director: Mr. Mohammad Ahmad

(410) 209-4129 (410) 209-4094(410) 807-2316 (410) 209-4269


Sponsor: Patrice Miller

410-209-4129 410-209-4269


Sponsor: Sandra Davis-Hart

410-585-3726 410-764-5112


FacilityName: Apex Counseling Center, LLC

Address: 3200 Eastern Ave. Baltimore MD 21224

Phone: (410) 522-1181 Fax: (410) 522-1182




License:

3677

Contacts:






905036 9/3/2013 3/3/2014Initial 9/6/2013




Emergency Contact: Harvey Brown

410-522-1181 410-750-6151443-324-8512 410-522-1182

[email protected] or [email protected] Alt. PhoneCell Fax:

Medical Director: Carlos Astrada, MD

410-522-1181 410-522-1182


Owner: Harvey Brown

410-522-1181 410-750-6151443-324-8512 410-522-1182


Program Director: Emnet Kflu

410-522-1181 410-522-1182


Sponsor: Harvey Brown

410-522-1181 410-750-6151443-324-8512 410-522-1182


FacilityName: Baker Street Station

Address: 1611 Baker St. Baltimore MD 21217

Phone: (410) 752-5917 Fax: (410) 752-4123




License:

2937

Contacts:





904513 4/24/2012 10/24/2012Initial 4/25/2012





904844 11/26/2012 11/26/2014General 11/29/2012






904945 5/6/2013 5/6/2015General 5/8/2013



Emergency Contact: Wynwood Curry

410-752-5917 443-845-8463


Owner: Mr. Micheal Seipp

410-752-4454 410-752-4123


Program Director: Mr. Micheal Seipp

410-752-4454 410-752-4123


Sponsor: Mr. Micheal Seipp

410-752-4454 410-752-4123


FacilityName: Baltimore Behavioral Health

Address: 1101 W. Pratt St. Baltimore MD 21223

Phone: (410) 962-7180 Fax: (410) 962-7194




License:

3718

Contacts:




905062 10/1/2013 4/1/2014Initial 10/2/2013






Emergency Contact: Tery Brown

(410) 962-7180 443-929-2312 (410) 962-7194


Medical Director: Dr. Andreas Olacirequi

410-962-7180 410-962-7194


Owner: Dr. Andreas Olacirequi

410-962-7180 410-962-7194


Program Director: Tery Brown

(410) 962-7180 443-929-2312 (410) 962-7194


Sponsor: Dr. Andreas Olacirequi

410-962-7180 410-962-7194


FacilityName: Baltimore Behavioral Health

Address: 200 S. Arlington Ave. Baltimore MD 21223

Phone: (410) 962-7180 Fax: (410) 962-7194




License:

301

Contacts:





Deaf Services

11030 7/1/2004 7/1/2006General



15667 1/30/2006 7/1/2006General 3/15/2006



Level I.D -- Detox - -


903688 1/12/2009 1/12/2011General 1/14/2009





904426 1/26/2012 1/26/2014General 2/1/2012






904739 7/31/2012 1/31/2013Initial 8/7/2012



Emergency Contact: Ms. Sandra Hill

410-962-7180 410-962-7194


Medical Director: Mr. Nicholas Scotto

410-962-7180 443-865-5233 410-962-7194


Owner: Morris Hill

410-962-7180 410-962-7194


Program Director: Mr. William Hathaway

(410) 962-7180 x190 (410) 962-7194


FacilityName: Baltimore Cares, Inc.

Address: 2300 Garrison Blvd, Suite 200 Baltimore MD 21216

Phone: (410) 233-3111 Fax: (410) 233-3222




License:

2318

Contacts:




904125 12/13/2010 12/13/2012General 12/16/2010




905066 10/31/2013 10/31/2015General 11/5/2013




Emergency Contact: Mr. Michael Douglas

410-719-7408 410-218-6372 410-233-3222


Medical Director: Ms. Rhonda Allen

410-685-1860 410-371-0980 410-234-0844


Owner: Mr. Michael Douglas

410-719-7408 410-218-6372 410-233-3222


Program Director: Mr. Michael Douglas

410-719-7408 410-218-6372 410-233-3222


Sponsor: Mr. Michael Douglas

410-719-7408 410-218-6372 410-233-3222


FacilityName: Baltimore Central Booking & Intake Center Methadone Program


Phone: (410) 209-4493 Fax: (410) 539-7176




License:

3784

Contacts:


905105 12/20/2013 6/13/2014Initial 12/20/2013





Emergency Contact: Kelly Blizzard, RN

410-209-4493 443-571-3558


Medical Director: Akin Ayen, M.D.

410-209-4410 703-408-8328 410-539-7176


Owner: Akin Ayen, M.D.

410-209-4410 703-408-8328 410-539-7176


Program Director: Akin Ayen, M.D.

410-209-4410 703-408-8328 410-539-7176


Sponsor: Akin Ayeni, M.D.

410-209-4410 703-408-8328 410-539-7176


FacilityName: Baltimore City Correctional Center- Addictions Treatment Protocol

Address: 901 Greenmount Ave. Baltimore MD 21202

Phone: (410) 332-4340 Fax: (410) 576-9470




License:

2713

Contacts:


Deaf Services

904368 12/1/2011 6/1/2012Initial 12/12/2011



Emergency Contact: Sandra Hart-Davis

410-585-3726 410-764-5112


Owner: Sandra Hart-Davis

410-585-3726 410-764-5112


Program Director: Sandra Hart-Davis

410-585-3726 410-764-5112


FacilityName: Baltimore City Counseling Center

Address: 3 S. Frederick St. Baltimore MD 21203

Phone: (410) 237-6503 Fax: (410) 327-4107




License:

3412

Contacts:

Adolescent Program






904855 11/27/2012 5/27/2013Initial 12/5/2012



Emergency Contact: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


Medical Director: Irfan Saeed, MD Phone Alt. PhoneCell Fax:

Owner: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


Program Director: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


FacilityName: Baltimore City Counseling Center

Address: 3301 Bel Air Rd. Balitmore MD 21213

Phone: (410) 732-0983 Fax: (410) 732-0987




License:

3414

Contacts:

Adolescent Program







904856 11/27/2012 5/27/2013Initial 12/5/2012



Emergency Contact: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


Medical Director: Irfan Saeed, MD Phone Alt. PhoneCell Fax:

Owner: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


Program Director: David Zahm, Ph.D.

410-327-6503 443-799-1254410-916-0527 410-327-4107


FacilityName: Baltimore City Detention Center-Women's Detention Center

Address: 401 E. Eager St. Baltimore MD 21202

Phone: (410) 209-4493 Fax: (410) 539-7176




License:

1352

Contacts:





903490 12/24/2007 6/24/2008Initial 1/24/2008



OMT.D -- Detox 380 -

903684 12/17/2008 12/17/2010General 12/18/2008



OMT.D -- Detox 380 -

905107 12/20/2013 6/20/2014Provisional 12/20/2013






410-209-4493 443-571-3558


Medical Director: Akin Ayer, M.D.

410-209-4410 703-408-8328 410-539-7176


Owner: Akin Ayer, M.D.

410-209-4410 703-408-8328 410-539-7176


Program Director: Stacey Scott

410-209-4493 410-539-7176


Sponsor: Akin Ayer, M.D.

410-209-4410 703-408-8328 410-539-7176


FacilityName: Baltimore Community Resource Center

Address: 21 W. 25th St. Baltimore MD 21218

Phone: (410) 366-1717 Fax: (410) 889-4167




License:

1296

Contacts:




903453 8/14/2007 8/14/2009General 11/27/2007




Emergency Contact: Ms. Robin Woodell

(410) 532-1770 (410) 323-6252


Owner: Ms. Ruth Daiker

(410) 532-1717 (410) 323-6252


Program Director: Ms. Ruth Daiker

(410) 532-1717 (410) 323-6252


Sponsor: Ms. Ruth Daiker

(410) 532-1717 (410) 323-6252


FacilityName: Baltimore Community Resource Center


Phone: (410) 366-1717 Fax: (410) 889-4167




License:

2136

Contacts:




904008 6/8/2010 6/8/2012General 6/18/2010




904679 6/20/2012 6/20/2014General 6/27/2012





(410) 532-1770 (410) 323-6252


Owner: Ms. Robin Woodell

(410) 532-1770 (410) 323-6252


Program Director: Ms. Robin Woodell

(410) 532-1770 (410) 323-6252


FacilityName: Baltimore Community Resource Center Alix House

Address: 1049 Roland Heights Ave. Baltimore MD 21211

Phone: (410) 243-3039 Fax: (410) 889-4167




License:

3150

Contacts:



904680 6/20/2012 6/20/2014General 6/27/2012




(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252


Sponsor: Ms. Robin Woodell

(410) 532-1770 (410) 323-6252


FacilityName: Baltimore Community Resource Center Courage House

Address: 1706 E. 33rd St. Baltimore MD 21218

Phone: (410) 366-1717 Fax: (410) 889-4167




License:

3153

Contacts:



904682 6/20/2012 6/20/2014General 6/27/2012




(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252


FacilityName: Baltimore Community Resource Center Serenity House

Address: 3623 Parkdale Ave. Baltimore MD 21218

Phone: (410) 243-0496 Fax: (410) 889-4167




License:

3155

Contacts:



904683 6/20/2012 6/20/2014General 6/27/2012




(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252



(410) 532-1770 (410) 323-6252


FacilityName: Baltimore Crisis Response, Inc.

Address: 2041 E. Fayette St. Baltimore MD 21231

Phone: (410) 433-5255 Fax: (410) 433-6795




License:

2295

Contacts:






Deaf Services

904109 11/17/2010 5/17/2011Initial 11/17/2010



904991 8/1/2013 8/1/2015General 8/9/2013



Emergency Contact: Edgar Wiggins

(410) 837-7963 (410) 433-6795


Emergency Contact: Pamela Gibson-Jones, CAC-AD

(410) 433-5255 410-444-5408443-986-0822 (410) 433-6795

[email protected]


Medical Director: Ms. Diane Ossip

(410) 433-5255


Medical Director: Ms. Paulette Hill

410-382-7475 410-789-1987


Owner: Edgar Wiggins

(410) 837-7963 (410) 433-6795


Program Director: Edgar Wiggins

(410) 837-7963 (410) 433-6795


FacilityName: Behavioral Pharmacology Research Unit

Address: 5510 Nathan Shock Dr. Baltimore MD 21224

Phone: (410) 550-1685 Fax: (410) 550-0030




License:

2802

Contacts:




904424 1/17/2012 1/17/2014General 2/1/2012




Emergency Contact: Ms. Mary Bailes

(410) 550-1600 (410) 273-9350443-904-4997 (410) 550-0030


Medical Director: Eric Strain, M.D.

(410) 550-0035 (410) 550-0033


Owner: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


Program Director: Mr. Robert Bartlett

(410) 550-8990 (410) 550-0030


Sponsor: George Bigelow, Ph.D.

(410) 550-0035 (410) 550-0052 (410) 550-0030


FacilityName: Bon Secours Next Passage

Address: 2901 Druid Park Dr. Suite A103 Baltimore MD 21215

Phone: (410) 728-8901 Fax: (410) 728-7817




License:

2609

Contacts:






904306 9/28/2011 9/28/2013General 9/29/2011







Emergency Contact: Ms. Melissa Owens

(301) 421-1886 (410) 814-6221(410) 948-5743 (301) 421-1890


Medical Director: Dr. Darshan SalujaPhone Alt. PhoneCell Fax:

Owner: Ms. Melissa Owens

(301) 421-1886 (410) 814-6221(410) 948-5743 (301) 421-1890


Program Director: Randy Reed, LCSW-C

(410) 383-4995 (410) 383-4920


FacilityName: Bon Secours Next Passage

Address: 3101 Towanda Ave. Baltimore MD 21215

Phone: (410) 728-8901 Fax: (410) 728-7817




License:

3275

Contacts:






904759 8/29/2012 8/29/2014General 9/4/2012







Emergency Contact: Ms. Susan Hofmann, RN

443-610-6456 443-768-2879 410-728-7817


Medical Director: Dr. Darshan SalujaPhone Alt. PhoneCell Fax:

Owner: Ms. Jocelyn Bratton-Payne

410-947-1700 410-493-0991 410-947-6567


Program Director: Ms. Jocelyn Bratton-Payne

410-947-1700 410-493-0991 410-947-6567


Sponsor: Ms. Jocelyn Bratton-Payne

410-947-1700 410-493-0991 410-947-6567


FacilityName: Bridge House Inc.

Address: 30 S. Broadway Baltimore MD 21231

Phone: (410) 732-0040 Fax: (410) 675-9410




License:

828

Contacts:



903225 3/13/2007 3/13/2009General 3/29/2007



904120 11/19/2010 11/19/2012General 11/29/2010



904859 12/10/2012 12/10/2014General 12/11/2012



Emergency Contact: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Medical Director: Paul Barbera, M.D.

410-276-1773


Owner: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Program Director: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Sponsor: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


FacilityName: Brittney's Heart

Address: 1621 W. N. Ave., Ste. B Balitmore MD 21217

Phone: (443) 557-8902 Fax: (443) 708-2488




License:

3833

Contacts:

Adolescent Program


905136 3/20/2014 9/20/2014Initial 4/2/2014





Level 0.5 -- DWI Education - 25

Emergency Contact: Patrick Isokpunwu, MBA

443-557-8902 678-596-8558 443-708-2488


Owner: Princess Isokpunwu

443-557-8902 443-708-2488


Program Director: Princess Isokpunwu

443-557-8902 443-708-2488


FacilityName: Build Fellowship Inc.-DePaul House

Address: 1512 Druid Hill Ave. Baltimore MD 21217

Phone: (410) 225-3016 Fax: (410) 225-3643




License:

1943

Contacts:



903858 12/4/2009 12/4/2011General 12/8/2009



Emergency Contact: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


Owner: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


Program Director: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


FacilityName: Build Fellowship Inc.-Tabitha House

Address: 653 Gutman Ave. Balitmore City MD 21218

Phone: (410) 605-9550 Fax: (410) 605-9551




License:

1945

Contacts:



903084 8/18/2006 8/18/2008General 9/5/2006



903859 12/4/2009 12/4/2011General 12/8/2009



Emergency Contact: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


Owner: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


Program Director: Ms. Sandra Witherspoon

410-605-9550 410-948-7642 410-605-9551


FacilityName: By Grace, Inc. Counseling Services

Address: 1000-1004 E. Patapsco Ave. Baltimore MD 21225

Phone: (410) 355-3711 Fax: (410) 355-3971




License:

2866

Contacts:

Adolescent Program





904464 3/22/2012 3/22/2014General 3/27/2012






Emergency Contact: MS. Pamela DukesPhone Alt. PhoneCell Fax:

Medical Director: Kofie Owusu, M.D.

410-355-3711 410-355-3971


Owner: MS. Pamela DukesPhone Alt. PhoneCell Fax:

Program Director: MS. Pamela DukesPhone Alt. PhoneCell Fax:

Sponsor: MS. Pamela DukesPhone Alt. PhoneCell Fax:

FacilityName: Center For Addiction Medicine

Address: 827 Linden Ave. Baltimore MD 21201

Phone: (410) 225-8240 Fax: (410) 225-8804




License:

725

Contacts:






903137 9/13/2006 9/13/2008General 10/12/2006





903743 6/25/2009 6/25/2011General 7/8/2009





904414 1/12/2012 1/12/2014General 1/19/2012





905048 1/12/2012 1/12/2014General 9/19/2013



905115 1/12/2014 1/12/2016General 12/27/2013






Emergency Contact: Ms. Marian Curens

(410) 225-8240 410-256-4312443-801-4606 (410) 225-8209


Program Director: Myron Johnson

(410) 203-2120 (410) 446-3292 (410) 203-2123


FacilityName: Chase Brexton Health Services

Address: 1111 N. Charles St. Baltimore MD 21201

Phone: (410) 837-2050 Fax: (410) 837-7793




License:

2833

Contacts:






904445 2/14/2012 2/14/2014General 3/7/2012




Emergency Contact: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793

[email protected]


Medical Director: Eduardo Guerrero, M.D.

410-837-2050 410-837-7793


Owner: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793


Program Director: Mr. Brett Davis

410-837-2050 410-837-7793


Sponsor: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793


FacilityName: Chase Brexton Health Services Addictions Services

Address: 1111 Cathedral St. Baltimore MD 21201

Phone: (410) 837-2050 Fax: (410) 837-7793




License:

3646

Contacts:






905017 9/13/2013 9/13/2015General 9/3/2013




Emergency Contact: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793

[email protected]


Medical Director: Amina Chaudhry, M.D.

410-837-2050 410-837-7793


Owner: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793


Program Director: Ms. Mandy Smith

(410) 923-0401 (301) 621-0744


Sponsor: Ms. Juliette Buchanan, Psy D.

410-837-2050 410-456-0150 410-837-7793


FacilityName: Cornerstone

Address: 1029 E. Balt. St. Baltimore MD 21202

Phone: (410) 550-7680 Fax: (410) 550-2957




License:

2754

Contacts:



904396 12/13/2011 6/13/2012Initial 1/4/2012




904652 6/12/2012 6/12/2014General 6/13/2012




Emergency Contact: Michelle Tuten

(410) 550-5700 410-598-4942 (410) 550-2957


Medical Director: Denis Antoine, M.D. Phone Alt. PhoneCell Fax:

Owner: Michelle Tuten

(410) 550-5700 410-598-4942 (410) 550-2957


Program Director: Michelle Tuten

(410) 550-5700 410-598-4942 (410) 550-2957


Sponsor: Michelle Tuten

(410) 550-5700 410-598-4942 (410) 550-2957


FacilityName: Crossroads Center


Phone: (410) 752-6505 Fax: (410) 385-1237




License:

682

Contacts:



903037 7/18/2006 7/18/2008General 8/7/2006





904134 1/14/2011 1/14/2013General 1/18/2011






Emergency Contact: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


Emergency Contact: Ms. Barbara McKenna

(410) 752-6505 (410) 627-6585 (410) 385-1237


Medical Director: Mark Illumanati, MD

433-423-1500 410-367-5551 443-423-1495


Owner: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


Owner: Ms. Barbara McKenna

(410) 752-6505 (410) 627-6585 (410) 385-1237


Program Director: Ms. Barbara McKenna

(410) 752-6505 (410) 627-6585 (410) 385-1237


SAMIS Liaison: Ms. Loretta Dougherty

(410) 752-6505 (410) 385-1237


Sponsor: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


FacilityName: Daybreak Rehabilitation Treatment Center

Address: 2490 Giles Rd. Baltimore MD 21225

Phone: (410) 354-2800 Fax: (410) 354-2842




License:

3258

Contacts:






903108 6/1/2006 6/1/2008General 9/15/2006




903986 5/24/2010 5/24/2012General 6/7/2010





904331 11/17/2011 5/17/2012Initial 11/28/2011





904747 8/16/2012 8/16/2014General 8/22/2012




Emergency Contact: Mr. Herman Jones

(410) 484-2700 (410) 484-1949


Medical Director: Dr. Lewis RandallPhone Alt. PhoneCell Fax:

Owner: Mr. Herman Jones

(410) 484-2700 (410) 484-1949


Program Director: Mr. Herman Jones

(410) 484-2700 (410) 484-1949


Sponsor: Mr. Herman Jones

(410) 484-2700 (410) 484-1949


FacilityName: Dayspring Programs, Inc.

Address: 1200 N. Collington Ave. Baltimore MD 21213

Phone: (410) 563-3459 Fax: (410) 276-0036




License:

1309

Contacts:



903459 11/13/2007 11/13/2009General 12/5/2007



904210 5/2/2011 5/2/2013General 5/16/2011



Emergency Contact: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Owner: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Program Director: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Sponsor: Ms. Pamela Tabalis

410-563-3459 410-276-0036



Address: 1200 N. Collington Ave. Baltimore MD 21213

Phone: (410) 563-3459 Fax: (410) 276-0036




License:

3126

Contacts:




904663 6/7/2012 12/7/2012Initial 6/20/2012



Emergency Contact: Pamela Talabis, Ph.D.

410-563-3459 410-252-3510443-928-4966 410-276-0036


Owner: Pamela Talabis, Ph.D.

410-563-3459 410-252-3510443-928-4966 410-276-0036


Program Director: Pamela Talabis, Ph.D.

410-563-3459 410-252-3510443-928-4966 410-276-0036


Sponsor: Pamela Talabis, Ph.D.

410-563-3459 410-252-3510443-928-4966 410-276-0036



Address: 1125 N. Patterson Park Ave. Baltimore MD 21213

Phone: (410) 563-3459 Fax: (410) 276-0036




License:

3456

Contacts:





904886 2/26/2013 2/26/2015General 2/27/2013




Emergency Contact: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Owner: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Program Director: Ms. Pamela Tabalis

410-563-3459 410-276-0036


Sponsor: Ms. Pamela Tabalis

410-563-3459 410-276-0036


FacilityName: Deaf Addiction Services at Maryland


Phone: (443) 462-3416 Fax: (443) 462-3086




License:

3528

Contacts:






Deaf Services

904936 5/1/2013 5/1/2015General 5/3/2013



904938 5/1/2013 11/1/2013Initial 5/3/2013



Emergency Contact: Ms. Laurie Corcoran

443-462-3414 410-288-8071443-604-3258 443-462-3086


Medical Director: Eric Weintraub, M.D.

410-837-3313 410-328-2337443-465-6201 410-706-8158


Owner: Eric Weintraub, M.D.

410-837-3313 410-328-2337443-465-6201 410-706-8158


Program Director: Mr. Frank Long, MPH

410-837-3313 443-604-0101 (410) 706-8158


Sponsor: Eric Weintraub, M.D.

410-837-3313 410-328-2337443-465-6201 410-706-8158


FacilityName: Deaf Addiction Services at Maryland


Phone: (443) 462-3400 Fax: (443) 462-3086




License:

3728

Contacts:






Deaf Services

905070 11/1/2013 11/1/2015General 11/21/2013




Emergency Contact: Ms. Laurie Corcoran

443-462-3414 410-288-8071443-604-3258 443-462-3086



410-837-3313 410-328-2337443-465-6201 410-706-8158



410-837-3313 410-328-2337443-465-6201 410-706-8158


Program Director: Ms. Laurie Corcoran

443-462-3414 410-288-8071443-604-3258 443-462-3086



410-837-3313 410-328-2337443-465-6201 410-706-8158


FacilityName: DeVaughn Inc. Teach and Treat Options (DITTO)

Address: 5900 York Rd., Suite 205 Baltimore MD 21212

Phone: (443) 873-8958 Fax: (443) 873-8959




License:

3831

Contacts:

Adolescent Program







905135 3/27/2014 3/27/2016General 3/31/2014






Emergency Contact: Eva DeVaughn

(443) 271-8046 1-877-267-3063


Owner: Eva DeVaughn

(443) 271-8046 1-877-267-3063


Program Director: Eva DeVaughn

(443) 271-8046 1-877-267-3063


FacilityName: DeVaughn Inc. Teach and Treat Options(DITTO)

Address: 5900 York Rd., Suite 206 Baltimore MD 21212

Phone: (443) 271-8046 Fax: (877) 267-3063




License:

3349

Contacts:

Adolescent Program







904806 10/25/2012 10/25/2014General 11/1/2012





Emergency Contact: Eva DeVaughn

(443) 271-8046 1-877-267-3063


Owner: Eva DeVaughn

(443) 271-8046 1-877-267-3063


Program Director: Eva DeVaughn

(443) 271-8046 1-877-267-3063


FacilityName: Eastern Avenue Health Solutions, Inc.


Phone: (410) 631-2772 Fax: (866) 846-7468




License:

3325

Contacts:


904791 10/2/2012 10/2/2014General 10/10/2012




Emergency Contact: Mr. Charles Watson

(410) 631-2772 (443) 242-7433(443) 841-2598


Medical Director: Daniel Gordon, MD Phone Alt. PhoneCell Fax:

Owner: Mr. Jason Gelber

(410) 303-5262 (866) 530-9250


Program Director: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


Sponsor: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


FacilityName: Echo House Multi-Purpose Center

Address: 1705 W. Fayette St. Baltimore MD 21223

Phone: (410) 947-1700 Fax: (410) 947-5306




License:

2128

Contacts:

Adolescent Program





Deaf Services

904002 6/9/2010 6/9/2012General 6/14/2010




904702 7/9/2012 7/9/2014General 7/12/2012





Emergency Contact: Ms. Benita Paschall

(410) 947-1700 (410) 644-0933(410) 236-9228 (410) 947-5306


Owner: Ms. Benita Paschall

(410) 947-1700 (410) 644-0933(410) 236-9228 (410) 947-5306


Program Director: Ms. Benita Paschall

(410) 947-1700 (410) 644-0933(410) 236-9228 (410) 947-5306


FacilityName: Family Health Centers of Baltimore

Address: 631 Cherry Hill Rd. Baltimore MD 21225

Phone: (410) 354-2005 Fax: (410) 354-2992




License:

693

Contacts:





Deaf Services

903201 9/14/2006 9/14/2008General 2/1/2007





903769 9/3/2009 9/3/2011General 9/10/2009





904595 5/4/2012 5/4/2014General 5/15/2012






410-298-8046 443-904-6675 410-636-2772


Medical Director: Erika KanePhone Alt. PhoneCell Fax:


410-298-8046 443-904-6675 410-636-2772


Program Director: Ms. Paula McLellan

(410) 354-2000 410-354-9469


SAMIS Liaison: Ms. Tammy SampsonPhone Alt. PhoneCell Fax:

Sponsor: Ms. Paula McLellan

(410) 354-2000 410-354-9469


FacilityName: Family Health Centers of Baltimore

Address: 315 Calvert St. Balitmore City MD 21225

Phone: (410) 354-2005 Fax: (410) 354-9469




License:

2336

Contacts:




904136 1/6/2011 7/6/2011Initial 1/25/2011




904596 5/4/2012 5/4/2014General 5/15/2012





410-298-8046 443-904-6675 410-636-2772


Medical Director: Erika KanePhone Alt. PhoneCell Fax:


410-298-8046 443-904-6675 410-636-2772



410-298-8046 443-904-6675 410-636-2772


Sponsor: Paula McClellan

410-354-2005 410-354-9469


FacilityName: Focus on Recovery, LLC


Phone: (443) 414-0917 Fax: (410) 944-5136




License:

3666

Contacts:



905030 9/11/2013 3/11/2014Initial 9/3/2013




Emergency Contact: Valerie McQueen-Bey

443-414-0917 410-944-8323443-602-5763 410-944-5136


Owner: Valerie McQueen-Bey

443-414-0917 410-944-8323443-602-5763 410-944-5136


Program Director: Bobby McQueen-Bey

443-414-0917 410-944-5136


Sponsor: Valerie McQueen-Bey

443-414-0917 410-944-8323443-602-5763 410-944-5136


FacilityName: FreshStart Comprehensive Center

Address: 2100 Charles St. Baltimore MD 21212

Phone: (301) 704-4001 Fax: (301) 710-6500




License:

3685

Contacts:






905040 8/28/2013 2/28/2014Initial 9/6/2013



Emergency Contact: Addisu Mengesha

301-740-4001 301-710-6500


Owner: Addisu Mengesha

301-740-4001 301-710-6500


Program Director: Pamela Gibson-Jones, CAC-AD

(410) 433-5255 410-444-5408443-986-0822 (410) 433-6795

[email protected]


Sponsor: Addisu Mengesha

301-740-4001 301-710-6500


FacilityName: Friendship House

Address: 1435 S. Hanover St. Baltimore MD 21230

Phone: (410) 752-2475 Fax: (410) 385-1466




License:

923

Contacts:



903032 7/11/2006 7/11/2008General 8/7/2006



903614 6/23/2008 6/23/2010General 6/27/2008





904808 10/25/2012 10/25/2014General 11/1/2012





Emergency Contact: Ms. Shirley Rose

(410) 352-2475 (410) 385-1466 (410) 385-1466


Owner: Ms. Shirley Rose

(410) 352-2475 (410) 385-1466 (410) 385-1466


Program Director: Ms. Shirley Rose

(410) 352-2475 (410) 385-1466 (410) 385-1466


FacilityName: Gaudenzia at Park Heights

Address: 4615 Park Heights Ave. Baltimore MD 21215

Phone: (443) 423-1500 Fax: (610) 239-9195




License:

3410

Contacts:







Deaf Services

904854 11/19/2012 11/19/2014General 11/29/2012






Emergency Contact: Mr. Craig Lippens

(410) 887-1503 (410) 991-2200 (410) 887-1522



433-423-1500 410-367-5551 443-423-1495


Owner: Mr. Craig Lippens

(410) 887-1503 (410) 991-2200 (410) 887-1522


Program Director: Mr. Craig Lippens

(410) 887-1503 (410) 991-2200 (410) 887-1522


Sponsor: Mr. Craig Lippens

(410) 887-1503 (410) 991-2200 (410) 887-1522


FacilityName: Gaudenzia Inc., Weinberg Center

Address: 3643 Woodland Ave. Baltimore MD 21215

Phone: (410) 367-5501 Fax: (410) 367-4447




License:

2583

Contacts:





Deaf Services

904288 8/15/2011 2/15/2012Initial 8/19/2011



904851 11/19/2012 11/19/2014General 11/29/2012





Emergency Contact: Rodney Parrish

(410) 367-5501 (443) 503-6038(443) 812-3320 (410) 367-4447



(410) 887-1503 (410) 991-2200 (410) 887-1522



433-423-1500 410-367-5551 443-423-1495



(410) 887-1503 (410) 991-2200 (410) 887-1522



(410) 887-1503 (410) 991-2200 (410) 887-1522



(410) 887-1503 (410) 991-2200 (410) 887-1522


FacilityName: Gaudenzia Outpatient Treatment Services


Phone: (443) 453-9075 Fax: (443) 869-6433




License:

2669

Contacts:






904340 10/24/2011 10/24/2013General 11/28/2011






(410) 887-1503 (410) 991-2200 (410) 887-1522



433-423-1500 410-367-5551 443-423-1495



(410) 887-1503 (410) 991-2200 (410) 887-1522



(410) 887-1503 (410) 991-2200 (410) 887-1522



(410) 887-1503 (410) 991-2200 (410) 887-1522


FacilityName: Gaudenzia, Inc. Therapeutic Community @ Metropolitan Transition Center

Address: 954 Forrest Ave. Baltimore MD 21201

Phone: (410) 230-1527 Fax: (410) 367-4447




License:

2447

Contacts:



904206 4/11/2011 4/11/2013General 4/26/2011



Emergency Contact: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415


Owner: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415


Program Director: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415


FacilityName: Gaudenzia, Inc. Therapeutic Community @ Metropolitan Transition Center

Address: 954 Forrest St. Baltimore MD 21202

Phone: (410) 230-1527 Fax: (410) 367-4447




License:

3520

Contacts:



904930 4/25/2013 4/25/2015General 4/26/2013




(410) 367-5551 (443) 878-4231 (410) 781-0415


Owner: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415



(410) 367-5551 (443) 878-4231 (410) 781-0415


FacilityName: Glass Substance Abuse Program

Address: 821 N. Eutaw St., Suite 101 Baltimore MD 21201

Phone: (410) 225-9185 Fax: (410) 225-7964




License:

3320

Contacts:






904788 10/3/2012 10/3/2014General 10/10/2012







(410) 484-2700 (410) 484-1949


Medical Director: Dr. Louis Randall

410-484-2700 410-484-1949


Owner: Sheldon Glass, M.D.

410-484-2700 410-484-1947



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949


FacilityName: Glenwood Life Counseling Center

Address: 516 Glenwood Ave. Baltimore MD 21212

Phone: (410) 323-9811 Fax: (410) 323-9077



License:

1626

Contacts:




903015 6/18/2006 6/18/2008General 7/19/2006



903643 7/30/2008 7/30/2010General 8/15/2008



903697 3/9/2009 9/9/2009Provisional 3/12/2009



904048 8/23/2010 8/23/2012General 9/7/2010





904770 9/12/2012 9/12/2014General 9/18/2012





904781 9/12/2012 9/12/2014General 10/1/2012





Emergency Contact: Ms. Lillian Donnard

(410) 323-9811 x201 (443) 600-6720 (410) 323-3862


Medical Director: Terrence Fitzgerald, M.D.

410-752-6080 410-889-5810


Owner: Ms. Lillian Donnard

(410) 323-9811 x201 (443) 600-6720 (410) 323-3862


Program Director: Ms. Lillian Donnard

(410) 323-9811 x201 (443) 600-6720 (410) 323-3862


Sponsor: Ms. Lillian Donnard

(410) 323-9811 x201 (443) 600-6720 (410) 323-3862




FacilityName: Hampden Health Solutions at the Rail, Inc.

Address: 3612 Falls Rd. Baltimore MD 21211

Phone: (410) 467-4357 Fax: (866) 530-3436




License:

3328

Contacts:

904793 10/2/2012 10/2/2014General 10/10/2012




Emergency Contact: Tawanda Holder

410-467-4357 267-975-6789267-975-6789


Medical Director: Michael Lawrence, M.D.

(410) 467-4357


Owner: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


Program Director: Mr. Jason Gelber

(410) 303-5262 (866) 530-9250


Sponsor: Mr. Jeffrey Shinesky, LCPC

(301) 801-4405 (866) 530-3435


FacilityName: HARBEL Prevention and Recovery Center

Address: 5807 Harford Rd. Baltimore MD 21214

Phone: (410) 444-2100 Fax: (410) 426-1140



License:

710

Contacts:

Adolescent Program




903047 6/20/2006 6/20/2008General 8/9/2006




903444 6/20/2006 6/20/2008General 11/27/2007




903642 7/30/2008 7/30/2010General 8/15/2008




904225 5/24/2011 11/24/2011Initial 6/2/2011



904305 9/21/2011 9/21/2013General 9/22/2011





905005 8/12/2013 8/12/2015General 8/19/2013





Emergency Contact: Ms. Patrica Quinn-Stabile

410-444-2100 410-426-1140


Owner: Ms. Patrica Quinn-Stabile

410-444-2100 410-426-1140


Program Director: Ms. Patrica Quinn-Stabile

410-444-2100 410-426-1140


Sponsor: Ms. Patrica Quinn-Stabile

410-444-2100 410-426-1140



FacilityName: Health Care for the Homeless, Inc.

Address: 421 Fallsway Baltimore MD 21202

Phone: (443) 703-1235 Fax: (410) 837-8020




License:

3703

Contacts:





Deaf Services

905051 7/31/2013 7/31/2015General 10/1/2013




Emergency Contact: Rolesia Rogers

410-837-5533 410-499-1755 410-837-8020


Owner: Rolesia Rogers

410-837-5533 410-499-1755 410-837-8020


Program Director: Rolesia Rogers

410-837-5533 410-499-1755 410-837-8020


Sponsor: Rolesia Rogers

410-837-5533 410-499-1755 410-837-8020


FacilityName: Home Free I.O.P.

Address: 10 W. Madison St. Baltimore MD 21201

Phone: (443) 438-7863 Fax: (443) 957-9485




License:

3555

Contacts:





904954 5/9/2013 11/9/2013Initial 5/28/2013



Emergency Contact: K. Bradley-Poff, CRNP

443-438-7863 410-562-6881410-562-6881 443-957-9485


Owner: K. Bradley-Poff, CRNP

443-438-7863 410-562-6881410-562-6881 443-957-9485


Program Director: K. Bradley-Poff, CRNP

443-438-7863 410-562-6881410-562-6881 443-957-9485


Sponsor: K. Bradley-Poff, CRNP

443-438-7863 410-562-6881410-562-6881 443-957-9485



Address: 1500 Presstman St. Baltimore MD 21217

Phone: (410) 225-7696 Fax: (410) 282-8995




License:

3696

Contacts:





905047 9/20/2013 3/20/2014Initial 9/12/2013



905142 4/16/2014 4/16/2016General 5/13/2014




Emergency Contact: Karen Bradley-Poff, MS, CRNP

410-225-7696 410-562-6881410-562-6881 410-282-8995

[email protected]


Owner: Karen Bradley-Poff, MS, CRNP

410-225-7696 410-562-6881410-562-6881 410-282-8995


Program Director: Karen Bradley-Poff, MS, CRNP

410-225-7696 410-562-6881410-562-6881 410-282-8995

[email protected]


Sponsor: Karen Bradley-Poff, MS, CRNP

410-225-7696 410-562-6881410-562-6881 410-282-8995



Address: 723 E.Patapsco Ave. Baltimore MD 21225

Phone: (410) 225-7696 Fax: (410) 282-8995




License:

3775

Contacts:






905098 11/29/2013 5/29/2014Initial 12/5/2013



Emergency Contact: k.Leslie Bradley-Poff

410-225-7696 410-562-6881 410-282-8995


Owner: k.Leslie Bradley-Poff

410-225-7696 410-562-6881 410-282-8995


Program Director: k.Leslie Bradley-Poff

410-225-7696 410-562-6881 410-282-8995


Sponsor: k.Leslie Bradley-Poff

410-225-7696 410-562-6881 410-282-8995


FacilityName: I Can't We Can Counseling Center


Phone: (410) 728-5174 Fax: (410) 728-5729




License:

3128

Contacts:




904664 5/22/2012 11/22/2012Initial 6/20/2012




Emergency Contact: Mr. Israel Cason

410-728-4491 410-728-5641


Owner: Mr. Israel Cason

410-728-4491 410-728-5641


Program Director: Mr. Israel Cason

410-728-4491 410-728-5641


Sponsor: Mr. Israel Cason

410-728-4491 410-728-5641


FacilityName: IBR Reach Health Services

Address: 2104 Maryland Ave. 3rd FloorBaltimore MD 21218

Phone: (410) 752-6850 Fax: (410) 889-9390




License:

3058

Contacts:





Deaf Services

904604 5/15/2012 5/15/2014General 5/17/2012





Emergency Contact: Ms. Vickie Walters, LCSW-C

410-550-5408 410-550-3020410-215-4192 410-550-2713

[email protected]


Medical Director: Y. Olsen, MD

410-752-6080


Owner: Steven Hursh,, Ph.D.

410-752-6080 410-889-5810


Program Director: Steven Hursh,, Ph.D.

410-752-6080 410-889-5810


Sponsor: Steven Hursh,, Ph.D.

410-752-6080 410-889-5810


FacilityName: I'm Still Standing By Grace

Address: 1003 E. Patapsco Ave. Baltimore MD 21225

Phone: (410) 355-3711 Fax: (410) 355-3971




License:

3679

Contacts:

Adolescent Program





905037 7/26/2013 1/26/2014Initial 9/6/2013









Emergency Contact: Pamela Dukes-Hawkins

410-355-3711 443-831-0191 410-355-3971


Medical Director: Kofie Owuso

410-355-3711 410-355-3971


Owner: Pamela Dukes-Hawkins

410-355-3711 443-831-0191 410-355-3971


Program Director: Kheninh Daniels

410-355-3711 410-355-3971


Sponsor: Pamela Dukes-Hawkins

410-355-3711 443-831-0191 410-355-3971


FacilityName: Impact DUI, Inc.

Address: 6006 Park Heights Ave., Lower Level Baltimore MD 21215

Phone: (410) 581-4900 Fax: (443) 773-5568




License:

3752

Contacts:




905084 12/13/2013 6/13/2014Initial 12/5/2013




905116 12/13/2013 12/13/2015General 1/10/2014




Emergency Contact: Jeremy Savin

410-562-7711 410-562-7711410-562-7711


Owner: Daniel Brannon

443-521-1041 1-866-244-3769


Program Director: Jacky Arthur

443-789-1481 443-773-5568


Sponsor: Daniel Brannon

443-521-1041 1-866-244-3769


FacilityName: Isaiah Associates, Inc.

Address: 113 E. 25th St. Baltimore MD 21218

Phone: (410) 585-9019 Fax: (410) 585-9018




License:

3825

Contacts:

Adolescent Program



905132 2/25/2014 8/25/2014Initial 2/26/2014






Emergency Contact: Edwin Cituku

410-585-9019 410-569-9111410-900-3144 410-585-9018


Owner: Edwin Cituku

410-585-9019 410-569-9111410-900-3144 410-585-9018


Program Director: Edwin Cituku

410-585-9019 410-569-9111410-900-3144 410-585-9018


Sponsor: Edwin Cituku

410-585-9019 410-569-9111410-900-3144 410-585-9018


FacilityName: JAI Medical Center

Address: 1235 E. Monument St. Baltimore MD 21202

Phone: (410) 327-5100 Fax: (410) 327-0542




License:

811

Contacts:





903200 10/4/2006 10/4/2008General 2/1/2007



903750 7/17/2009 7/17/2011General 7/23/2009



904902 3/22/2013 3/22/2015General 3/26/2013



Emergency Contact: Jai Sevnarine

410-433-2200 410-532-7246


Medical Director: Hollis Sevnarine, MD

410-433-2200 410-532-7246


Owner: Hollis Sevnarine, MD

410-433-2200 410-532-7246


Program Director: Ms. Jemma Chong Qui, LCADC

(410) 327-5100 (410) 327-0542

[email protected]


Sponsor: Hollis Sevnarine, MD

410-433-2200 410-532-7246


FacilityName: JHH Bayview Medical Center

Address: 4940 Eastern Ave. D-2 East Baltimore MD 21224

Phone: (410) 550-0070 Fax: (410) 550-1061




License:

492

Contacts:



FacilityName: JHH Programs Broadway

Address: 911 N. Broadway Baltimore MD 21205

Phone: (410) 955-5439 Fax: (410) 955-4769




License:

118

Contacts:

12237 11/19/2004 11/19/2006General




FacilityName: JHU Behavioral Pharmacology Research Unit

Address: 5510 Nathan Shock Dr. Baltimore MD 21224

Phone: (410) 550-1102 Fax: (410) 550-0060




License:

615

Contacts:

FacilityName: Kolmac Clinic

Address: 1 N. Charles St., Suite 602 Balitmore MD 21202

Phone: (443) 449-2996 Fax: (410) 752-0141




License:

2629

Contacts:



904317 10/19/2011 4/19/2012Initial 10/26/2011




904512 4/23/2012 4/23/2014General 4/25/2012




Emergency Contact: Mr. Michael ClarkPhone Alt. PhoneCell Fax:

Medical Director: Dr. George KolodnerPhone Alt. PhoneCell Fax:

Owner: Dr. George KolodnerPhone Alt. PhoneCell Fax:

Program Director: Mark Santangelo

301-589-0255 443-756-6312 301-589-0291


Sponsor: Dr. George KolodnerPhone Alt. PhoneCell Fax:


Address: 1 N. Charles St., Suite 602 Towson MD 21201

Phone: (443) 449-2996 Fax: (410) 752-0141




License:

3387

Contacts:



904834 10/31/2012 4/30/2013Initial 11/16/2012







301-589-0255 443-756-6312 301-589-0291



FacilityName: Lane Treatment Center, LLC

Address: 2117 Maryland Ave. Suite 400 Baltimore MD 21218

Phone: (410) 244-7350 Fax: (410) 244-7351




License:

2039

Contacts:


903945 3/25/2009 3/25/2011General 4/14/2010




904533 5/1/2012 5/1/2014General 5/2/2012




Emergency Contact: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Medical Director: Ugandrar Vemalapalli

443-854-4142


Owner: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Program Director: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Sponsor: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

FacilityName: Light of Truth Center

Address: 1736 Payson St. Baltimore MD 21217

Phone: (410) 523-4898 Fax: (410) 496-1743




License:

3415

Contacts:


904858 11/19/2012 5/19/2013Initial 12/11/2012



905067 10/11/2013 4/11/2014Initial 11/6/2013



Emergency Contact: Vaile Leonard

443-393-2109 410-521-9290443-414-7562 410-469-1743


Owner: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

Owner: Vaile Leonard

443-393-2109 410-521-9290443-414-7562 410-469-1743


Program Director: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

Program Director: Alex Greene

410-523-4898 410-496-1743


Sponsor: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

FacilityName: Light of Truth Center

Address: 1736 Payson St. Baltimore MD 21217

Phone: (410) 523-4898 Fax: (410) 496-1743




License:

3415

Contacts:


904858 11/19/2012 5/19/2013Initial 12/11/2012



905067 10/11/2013 4/11/2014Initial 11/6/2013



Emergency Contact: Vaile Leonard

443-393-2109 410-521-9290443-414-7562 410-469-1743


Owner: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

Owner: Vaile Leonard

443-393-2109 410-521-9290443-414-7562 410-469-1743


Program Director: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

Program Director: Alex Greene

410-523-4898 410-496-1743


Sponsor: Alex Green, LCPC, LCADC Phone Alt. PhoneCell Fax:

FacilityName: Loyola University Alcohol and Drug Education and Support Services (ADESS)

Address: 4501 N. Charles St., Seton 02B Baltimore MD 21210

Phone: (410) 617-2201 Fax: (410) 617-5307




License:

2507

Contacts:



904241 5/25/2011 5/25/2013General 6/22/2011



Emergency Contact: Mr. Jan Williams, LCADC

(410) 617-2928 (410) 617-5307(410) 617-5307 (410) 617-5307


Owner: Mr. Brian Linane

(410) 617-2000 (410) 617-5307


Program Director: Mr. Jan Williams, LCADC

(410) 617-2928 (410) 617-5307(410) 617-5307 (410) 617-5307


Sponsor: Mr. Jan Williams, LCADC

(410) 617-2928 (410) 617-5307(410) 617-5307 (410) 617-5307


FacilityName: Man Alive, Inc.

Address: 2117 Maryland Ave. Baltimore MD 21218

Phone: (410) 837-4292 Fax: (410) 234-0013




License:

1518

Contacts:






903588 5/27/2008 5/27/2010General 6/2/2008




904032 7/26/2010 7/26/2012General 7/28/2010




904086 10/6/2010 4/6/2011Initial 10/13/2010



904223 5/16/2011 5/16/2013General 5/18/2011



904765 9/14/2012 9/14/2014General 9/18/2012





Emergency Contact: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Medical Director: Dr. Uqandhar VemulapallePhone Alt. PhoneCell Fax:

Owner: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Program Director: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

Sponsor: Ms. Karen Reese [email protected] Alt. PhoneCell Fax:

FacilityName: Martha's Place

Address: 1928 Pennsylvania Ave. Baltimore MD 21217

Phone: (410) 728-8402 Fax: (410) 728-8424




License:

767

Contacts:


903124 9/14/2006 9/14/2008General 9/27/2006



903748 7/20/2009 7/20/2011General 7/21/2009



Emergency Contact: Mr. Todd Marcus

410-728-8403 443-415-7386 410-728-8424


Owner: Ms. Amelia Harris

410-728-8402 410-728-8424


Program Director: Mr. Todd Marcus

410-728-8403 443-415-7386 410-728-8424


SAMIS Liaison: Ms. Amelia Harris

410-728-8402 410-728-8424


FacilityName: Maryland Community Health Initiatives, Inc. (Penn North)

Address: 2410 Pennsylvania Ave., Suite 200 Baltimore MD 21217

Phone: (410) 728-2080 Fax: (410) 728-2038




License:

3105

Contacts:




904638 5/16/2012 5/16/2014General 6/5/2012




Emergency Contact: Blaize Connelly-Duggan

(410) 728-2080 (301) 466-7903(410) 303-9996 (410) 728-2038


Owner: Blaize Connelly-Duggan

(410) 728-2080 (301) 466-7903(410) 303-9996 (410) 728-2038


Program Director: Blaize Connelly-Duggan

(410) 728-2080 (301) 466-7903(410) 303-9996 (410) 728-2038


Sponsor: Blaize Connelly-Duggan

(410) 728-2080 (301) 466-7903(410) 303-9996 (410) 728-2038


FacilityName: Mattie B. Uzzle Treatment Center

Address: 1211 N. Chester St. Baltimore MD 21213

Phone: (410) 342-6858 Fax: (410) 732-8139




License:

1053

Contacts:



903327 7/20/2007 1/20/2008Initial 7/31/2007






Emergency Contact: Jewell Gray, MD

410-342-6858 4107328139


Medical Director: Mr. Ronald Gray, MD

4103426858 4107328139


Owner: Jewell Gray, MD

410-342-6858 4107328139


Program Director: Jewell Gray, MD

410-342-6858 4107328139


Sponsor: Jewell Gray, MD

410-342-6858 4107328139


FacilityName: MBA-Cherry Hill

Address: 2490 Giles Rd. Baltimore MD 21225

Phone: (410) 354-2800 Fax: (410) 354-2841




License:

3260

Contacts:






904748 8/16/2012 8/16/2014General 8/22/2012





(410) 484-2700 (410) 484-1949


Medical Director: Dr. Lois Randall

(410) 354-2800 (410) 354-2841



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949


FacilityName: Methadone for Business Achievers

Address: 821 N. Eutaw St., Suite 201 Baltimore MD 21201

Phone: (410) 225-9185 Fax: (410) 225-7964




License:

3318

Contacts:




904787 10/3/2012 10/3/2014General 10/10/2012





(410) 484-2700 (410) 484-1949



410-484-2700 410-484-1949



410-484-2700 410-484-1947



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949


FacilityName: Metropolitan Transition Center

Address: 954 Forrest St. Baltimore MD 21202

Phone: (410) 209-4493 Fax: (410) 530-7176




License:

1684

Contacts:




903489 12/24/2007 6/24/2008Initial 1/24/2008



OMT.D -- Detox 45 -

903682 12/17/2008 12/17/2010General 12/18/2008



OMT.D -- Detox 48 -

905106 12/20/2013 6/13/2014Provisional 12/20/2013






410-209-4493 443-571-3558


Owner: Stacy Scott

410-209-4493 410-539-7176


Program Director: Stacy Scott

410-209-4493 410-539-7176


FacilityName: Mitchell Court Assesment Unit

Address: 100 N. Calvert St. Suite 634 Baltimore MD 21202

Phone: (410) 837-1669 Fax: (410) 837-2096




License:

242

Contacts:

6948 3/3/2003 6/25/2003General




11686 8/16/2004 8/16/2006General 6/1/2005




FacilityName: Mosaic Community Services dba Partners In Recovery


Phone: (410) 573-8666 Fax: (410) 243-8175




License:

2792

Contacts:






904419 1/19/2012 1/19/2014General 1/25/2012





Emergency Contact: Ms. Yvette Jefferson

443-573-8666 (410) 466-0116(443) 629-4548 (410) 243-8175


Medical Director: Mark Illuminati, M.D.

410-894-3590 410-296-2359


Owner: Mr. Jeff Richardson

(410) 453-9553 (410) 308-8926


Program Director: Mr. Jeff Richardson

(410) 453-9553 (410) 308-8926


Sponsor: Mr. Jeff Richardson

(410) 453-9553 (410) 308-8926


FacilityName: Mountain Manor Treatment Adult Outpatient Services

Address: 3800 Frederick Ave. Third Floor Baltimore MD 21229

Phone: (410) 233-5083 Fax: (410) 233-5583




License:

2987

Contacts:






904544 5/2/2012 5/2/2014General 5/4/2012





Emergency Contact: Ms. Debbie Smith

(410) 233-1400


Medical Director: Christine Curley, M.D., P.C.

301-524-9040 301-447-2485


Owner: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


Program Director: Walter Dolata Sr.

410-233-1400 443-904-0144 410-665-9316




Phone: (410) 276-0153 Fax: (410) 732-0362




License:

2993

Contacts:





904547 5/2/2012 5/2/2014General 5/4/2012






(410) 233-1400


Medical Director: Mr. Marc Fishman

410-233-1400 410-233-5583


Owner: Mr. Marc Fishman

410-233-1400 410-233-5583



410-233-1400 443-904-0144 410-665-9316


FacilityName: Mountain Manor Treatment Center

Address: 3800 Frederick Ave. Baltimore MD 21229

Phone: (410) 233-1400 Fax: (410) 233-1666




License:

698

Contacts:

Adolescent Program

10487 4/26/2004 4/26/2006General



903139 10/2/2006 10/2/2008General 2/1/2007





Program Director: Mr. Paul Wells

(410) 233-1400 (410) 233-1666


SAMIS Liaison: Ms. Venida Brinkley-PuryearPhone Alt. PhoneCell Fax:


Address: 3800 Frederick Ave. Baltimore MD 21229

Phone: (410) 233-1400 Fax: (410) 233-1666




License:

3060

Contacts:

Adolescent Program



904605 5/15/2012 5/15/2014General 5/17/2012







904607 5/15/2012 5/15/2014General 5/17/2012




Emergency Contact: Mr. Paul Wells

(410) 233-1400 (410) 233-1666


Medical Director: Mr. Marc Fishman

410-233-1400 410-233-5583



410-233-1400 410-233-5583


Program Director: Mr. Paul Wells

(410) 233-1400 (410) 233-1666


Sponsor: Mr. Marc Fishman

410-233-1400 410-233-5583


FacilityName: Native American Lifelines

Address: 106 W. Clay St. Baltimore MD 21201

Phone: (410) 837-2258 Fax: (410) 837-2692




License:

2513

Contacts:




904244 6/16/2011 12/16/2011Initial 6/27/2011





904427 1/26/2012 1/26/2014General 2/9/2012





Emergency Contact: Susan Roth

410-837-2258 410-679-4614410-917-1349 410-837-2692


Emergency Contact: Christine Allen

410-837-2258 631-807-7226 410-837-2692


Owner: Susan Roth

410-837-2258 410-679-4614410-917-1349 410-837-2692


Program Director: Susan Roth

410-837-2258 410-679-4614410-917-1349 410-837-2692


Sponsor: Susan Roth

410-837-2258 410-679-4614410-917-1349 410-837-2692


FacilityName: New Hope Treatment Center

Address: 2401 W. Balt. St. Baltimore MD 21223

Phone: (410) 945-7706 Fax: (410) 945-8767




License:

581

Contacts:

900185 12/15/1999 12/15/2001Generalsee also cid #103210

7/14/2005



Director: Ms. Carrie LittlePhone Alt. PhoneCell Fax:

FacilityName: Nilsson House

Address: 5665 Purdue Ave. Baltimore MD 21239

Phone: (410) 323-5328 Fax: (410) 323-5328




License:

703

Contacts:



903002 6/1/2006 6/1/2008General 6/28/2006



903039 5/30/2006 5/30/2008General 8/7/2006



Emergency Contact: Dr. John Hickey

(410) 947-1126 (410) 233-0684


Medical Director: Mr. Kevin Ferentz

410-328-4282


Program Director: Dr. John Hickey

(410) 947-1126 (410) 233-0684


SAMIS Liaison: Chanel DewsPhone Alt. PhoneCell Fax:

Sponsor: Ms. Lucy Howard

410-328-7737 410-375-7357 410-328-2426


FacilityName: No Turning Back Behavioral Health, LLC

Address: 5209 York Rd. Baltimore MD 21212

Phone: (443) 744-9802 Fax: (410) 655-0618




License:

3705

Contacts:




905052 9/20/2013 3/20/2014Initial 10/1/2013





Emergency Contact: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Owner: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Program Director: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Sponsor: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


FacilityName: No Turning Back, Inc.

Address: 2826 Oakley Ave. Baltimore MD 21215

Phone: (443) 744-9802 Fax: (410) 655-0618




License:

3584

Contacts:



904972 6/26/2013 6/26/2015General 7/2/2013



Emergency Contact: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Owner: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Program Director: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


Sponsor: Mr. Robert Carter

(443) 744-9802 (443) 744-9802 (410) 922-9893


FacilityName: Northern Parkway Treatment Services, Inc.

Address: 3007 E. Northern Parkway Baltimore MD 21214

Phone: (443) 475-0737 Fax:




License:

3861

Contacts:





905154 6/3/2014 12/3/2014Initial 6/12/2014




OMT.D -- Detox 10 -

Emergency Contact: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Medical Director: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Owner: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Program Director: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Sponsor: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


FacilityName: Operation Recovery

Address: 301 St. Paul Place Baltimore MD 21202

Phone: (410) 659-2878 Fax: (410) 837-5892




License:

915

Contacts:




903094 8/30/2006 8/30/2008General 9/13/2006



904880 2/1/2013 2/1/2015General 2/4/2013



Emergency Contact: Mr. Scott Spier, M.D.

410-659-2878 410-659-1055 410-837-5892


Emergency Contact: Ms. Robin DeLoachePhone Alt. PhoneCell Fax:

Medical Director: Mr. Scott Spier, M.D.

410-659-2878 410-659-1055 410-837-5892


Owner: Mr. Scott Spier, M.D.

410-659-2878 410-659-1055 410-837-5892


Program Director: Ms. Robin DeLoachePhone Alt. PhoneCell Fax:

Sponsor: Mr. Scott Spier, M.D.

410-659-2878 410-659-1055 410-837-5892


FacilityName: Outpatient Substance Abuse Treatment

Address: 1734 Maryland Ave. Balitmore City MD 21201

Phone: (410) 685-1180 Fax: (410) 685-3101




License:

794

Contacts:



903178 11/17/2006 5/17/2007Initial 12/26/2006



Emergency Contact: Leonardo Ortega, MD, MPH

(410) 685-1180 (410) 685-3101

[email protected]


Medical Director: Lelin Chao

410-467-6040 410-467-5944


Owner: Leonardo Ortega, MD, MPH

(410) 685-1180 (410) 685-3101


Program Director: Mr. Frank Sullivan

(410) 685-1180 (410) 685-0059


Sponsor: Leonardo Ortega, MD, MPH

(410) 685-1180 (410) 685-3101


FacilityName: PBA Associates, Inc.

Address: 115 N. Monroe St. Baltimore MD 21223

Phone: (443) 708-4391 Fax: (443) 708-4436




License:

3842

Contacts:





905143 4/10/2014 10/10/2014Initial 5/16/2014





Emergency Contact: Mr. Arnie Akpan

301-497-9930


Owner: Mr. Arnie Akpan

301-497-9930


Program Director: Mr. Arnie Akpan

301-497-9930


FacilityName: Peoples Community Health Center


Phone: (410) 467-6040 Fax: (410) 235-8807




License:

2746

Contacts:






904388 12/14/2011 12/14/2013General 12/20/2011




Emergency Contact: Stacy Fruhling, LCADC

410-467-6040 410-235-8807



410-467-6040 410-467-5944


Owner: Stacy Fruhling, LCADC

410-467-6040 410-235-8807


Program Director: Stacy Fruhling, LCADC

410-467-6040 410-235-8807


Sponsor: Stacy Fruhling, LCADC

410-467-6040 410-235-8807



Address: 1111 Washington Blvd. Baltimore City MD 21223

Phone: (410) 467-6040 Fax: (410) 235-8807




License:

3763

Contacts:






905092 12/14/2013 12/14/2015General 12/5/2013



Emergency Contact: Penny Timmons-Lemmerman

410-467-6040 443-253-3727 410-235-8807

[email protected]


Medical Director: Dana Lee, M.D.

410-467-6040 410-235-8807



410-467-6040 410-235-8807


Program Director: Penny Timmons-Lemmerman

410-467-6040 443-253-3727 410-235-8807



410-467-6040 410-235-8807



Address: 1734 Maryland Ave. Balitmore City MD 21201

Phone: (410) 467-6040 Fax: (410) 235-8807




License:

3765

Contacts:






905093 12/14/2013 12/14/2015General 12/5/2013




410-467-6040 443-253-3727 410-235-8807

[email protected]



410-467-6040 410-235-8807


Owner: Penny Timmons-Lemmerman

410-467-6040 443-253-3727 410-235-8807



410-467-6040 443-253-3727 410-235-8807



410-467-6040 410-235-8807



Address: 5517 Ritchie Highway Brooklyn Park MD 21225

Phone: (410) 467-6040 Fax: (410) 235-8807




License:

3769

Contacts:






905095 12/14/2013 12/14/2015General 12/5/2013




410-467-6040 443-253-3727 410-235-8807

[email protected]



410-467-6040 410-235-8807


Owner: Penny Timmons-Lemmerman

410-467-6040 443-253-3727 410-235-8807



410-467-6040 443-253-3727 410-235-8807



410-467-6040 410-235-8807


FacilityName: People's Community Health Center


Phone: (410) 467-6040 Fax: (410) 235-8807




License:

2743

Contacts:






904386 12/14/2011 12/14/2013General 12/20/2011




Emergency Contact: Stacy Fruhling, LCADC

410-467-6040 410-235-8807



410-467-6040 410-467-5944



410-467-6040 410-235-8807


Program Director: Stacy Fruhling, LCADC

410-467-6040 410-235-8807



410-467-6040 410-235-8807




Phone: (410) 467-6040 Fax: (410) 235-8807




License:

3761

Contacts:






905091 12/14/2013 12/14/2015General 12/5/2013



Emergency Contact: Penny Timmons_lemmerman

410-467-6040 443-253-3727 410-235-8807

[email protected]



410-467-6040 410-235-8807



410-467-6040 410-235-8807


Program Director: Penny Timmons_lemmerman

410-467-6040 443-253-3727 410-235-8807



410-467-6040 410-235-8807



Address: 5225 York Rd. Baltimore MD 21212

Phone: (410) 467-6040 Fax: (410) 235-8807




License:

3767

Contacts:






905094 12/14/2013 12/14/2015General 12/5/2013




410-467-6040 443-253-3727 410-235-8807

[email protected]



410-467-6040 410-235-8807



410-467-6040 410-235-8807



410-467-6040 443-253-3727 410-235-8807



410-467-6040 410-235-8807


FacilityName: PEP Inc., Substance Abuse/Co-Occuring Disorders Program

Address: 4201 Primrose Ave. Baltimore MD 21215

Phone: (410) 764-8560 Fax: (410) 764-9114




License:

2206

Contacts:




904045 8/2/2010 8/2/2012General 8/20/2010




Emergency Contact: Saunders Ebuwei

(410) 764-8560 (410) 521-7746(443) 759-0655 (410) 764-9114


Owner: Saunders Ebuwei

(410) 764-8560 (410) 521-7746(443) 759-0655 (410) 764-9114


Program Director: Saunders Ebuwei

(410) 764-8560 (410) 521-7746(443) 759-0655 (410) 764-9114


Sponsor: Saunders Ebuwei

(410) 764-8560 (410) 521-7746(443) 759-0655 (410) 764-9114


FacilityName: PEP Inc., Substance Abuse/Co-Occuring Disorders Program

Address: 4201 Primrose Ave. Baltimore MD 21215

Phone: (410) 764-8560 Fax: (410) 764-9114




License:

3181

Contacts:





Deaf Services

904698 6/28/2012 6/28/2014General 7/10/2012




Emergency Contact: Janet Hughes

(410) 764-8560 (410) 426-4682(443) 255-9640 (410) 764-9114


Medical Director: Ugandhar Vemulapalli, M.D.

443-854-4142 410-234-0013


Owner: Janet Hughes

(410) 764-8560 (410) 426-4682(443) 255-9640 (410) 764-9114


Program Director: Janet Hughes

(410) 764-8560 (410) 426-4682(443) 255-9640 (410) 764-9114


Sponsor: Janet Hughes

(410) 764-8560 (410) 426-4682(443) 255-9640 (410) 764-9114


FacilityName: Pine Heights Treatment Center

Address: 3455 Wilkens Ave., Lower Level 20 Baltimore MD 21229

Phone: (410) 646-6960 Fax: (410) 644-5612




License:

3094

Contacts:






904631 5/22/2012 5/22/2014General 5/29/2012







Emergency Contact: Melissa Bishop (Gentile)

410-646-6960 302-698-1623610-806-3884 410-644-5612


Medical Director: Bradley Levin, MD

(410) 646-6960


Owner: Jerry Rhodees

610-388-8001 610-388-2446


Program Director: Melissa Bishop (Gentile)

410-646-6960 302-698-1623610-806-3884 410-644-5612


Sponsor: Jerry Rhodees

610-388-8001 610-388-2446


FacilityName: Port Recovery IOP, Inc.

Address: 7000 Hartford Rd. Baltimore MD 21234

Phone: (443) 869-4909 Fax: (443) 869-4928




License:

3264

Contacts:




904750 8/14/2012 2/14/2013Initial 8/22/2012



904878 1/29/2013 1/29/2015General 2/4/2013




904927 4/23/2013 4/23/2015General 4/26/2013



Emergency Contact: Teri Murtha

443-534-8735 443-507-5910443-821-2352 410-534-8737


Owner: Joanne Granruther

443-534-8735 410-534-8737


Owner: Michelle Granruther

443-869-5519 443-534-8737


Program Director: Teri Murtha

443-534-8735 443-507-5910443-821-2352 410-534-8737


Sponsor: Joanne Granruther

443-534-8735 410-534-8737


Sponsor: Michelle Granruther

443-869-5519 443-534-8737


FacilityName: Powell Recovery Center


Phone: (410) 276-1773 Fax: (410) 276-2056




License:

2674

Contacts:







904343 11/28/2011 11/28/2013General 11/30/2011





904997 8/15/2013 8/15/2015General 8/19/2013






410-276-1773


Owner: Mr. Robert Powell

(410) 276-1773 (410) 276-2056


Program Director: William Scott, M.D.

410-276-1773 410-276-2056


Sponsor: Mr. Robert Powell

(410) 276-1773 (410) 276-2056



Address: 14 S. Broadway Balitmore City MD 21231

Phone: (410) 276-1773 Fax: (410) 276-2056




License:

2677

Contacts:





904345 11/28/2011 11/28/2013General 11/30/2011




Emergency Contact: Mrs. Kim WiremanPhone Alt. PhoneCell Fax:


410-382-7475 410-789-1987



(410) 276-1773 (410) 276-2056



410-276-1773 410-276-2056



(410) 276-1773 (410) 276-2056



Address: 332 Presstman St. Baltimore MD 21217

Phone: (410) 276-1773 Fax: (410) 276-2056




License:

2680

Contacts:







904347 11/28/2011 11/28/2013General 11/30/2011






410-382-7475 410-789-1987



(410) 276-1773 (410) 276-2056



410-276-1773 410-276-2056



(410) 276-1773 (410) 276-2056




Phone: (410) 276-1773 Fax: (410) 276-2056




License:

2683

Contacts:






904349 11/28/2011 11/28/2013General 11/30/2011







905001 8/15/2013 8/15/2015General 8/19/2013









410-276-1773



(410) 276-1773 (410) 276-2056



410-276-1773 410-276-2056



(410) 276-1773 (410) 276-2056




Phone: (410) 276-1773 Fax: (410) 276-2056




License:

2689

Contacts:





904353 11/28/2011 11/28/2013General 11/30/2011






905003 8/15/2013 8/15/2015General 8/19/2013








410-276-1773



(410) 276-1773 (410) 276-2056



410-276-1773 410-276-2056



(410) 276-1773 (410) 276-2056



Address: 832 E. Balt. St. Baltimore MD 21201

Phone: (410) 276-1773 Fax: (410) 276-2056




License:

3623

Contacts:





904999 8/15/2013 8/15/2015General 8/19/2013






410-276-1773



(410) 276-1773 (410) 276-2056


Program Director: Mrs. Kim WiremanPhone Alt. PhoneCell Fax:


(410) 276-1773 (410) 276-2056


FacilityName: Reality Resource Group

Address: 3017 Garrison Boulevard Baltimore MD 21216

Phone: (443) 622-1436 Fax:




License:

2094

Contacts:



903979 5/25/2010 11/25/2010Initial 5/25/2010





Emergency Contact: Ms. Dawn James, LCADC, LCSW-C

410-654-5551 (410) 952-0676 410-654-5501

[email protected]


Owner: Frank Schwalenberg

( 516) 314-2525


Program Director: Frank Schwalenberg

( 516) 314-2525


FacilityName: Recovery In Community, Inc.


Phone: (410) 362-1400 Fax: (410) 362-1615




License:

1475

Contacts:




903566 3/11/2008 9/11/2008Initial 4/3/2008



903768 9/3/2009 9/3/2011General 9/10/2009



903842 11/23/2009 5/23/2010Initial 12/1/2009




904587 5/7/2012 5/7/2014General 5/15/2012





Emergency Contact: Mr. George Stewart

(410) 669-0710 (410) 362-1400(410) 961-6717


Owner: Ms. Lena Franklin

(410) 362-1400 (410) 362-0647(410) 207-7860 (410) 362-1615


Program Director: Ms. Lena Franklin

(410) 362-1400 (410) 362-0647(410) 207-7860 (410) 362-1615


Sponsor: Ms. Lena Franklin

(410) 362-1400 (410) 362-0647(410) 207-7860 (410) 362-1615


FacilityName: Reflective Treatment Center

Address: 301 N. Gay St. Lower Level Baltimore MD 21202

Phone: (410) 727-9104 Fax: (410) 528-1005




License:

1966

Contacts:




Deaf Services

903875 12/17/2009 12/17/2011General 12/17/2009




904435 2/21/2012 2/21/2014General 2/28/2012




Emergency Contact: Ms. Muriel Brothers

(410) 727-9103 (410) 528-1005(410) 528-1005 (410) 528-1005


Medical Director: Dr. Ambachew Woreta

410-727-7400 410-528-1005


Owner: Dr. Marie Washington

(410) 752-3200 (410) 752-6922


Program Director: Ms. Muriel Brothers

(410) 727-9103 (410) 528-1005(410) 528-1005 (410) 528-1005


Sponsor: Dr. Marie Washington

(410) 752-3200 (410) 752-6922


FacilityName: S.A.F.E House

Address: 7 W. Randall St. Baltimore MD 21230

Phone: (410) 752-2475 Fax: (410) 385-1466




License:

3351

Contacts:




904807 10/25/2012 10/25/2014General 11/1/2012





Emergency Contact: Mr. John McAvoy

(410) 789-0080 (443) 306-3257 (410) 789-0080


Owner: Mr. John McAvoy

(410) 789-0080 (443) 306-3257 (410) 789-0080


Program Director: Mr. John McAvoy

(410) 789-0080 (443) 306-3257 (410) 789-0080


Sponsor: Mr. John McAvoy

(410) 789-0080 (443) 306-3257 (410) 789-0080


FacilityName: Secondd Chancee, LLC

Address: 5801 Moravia Rd. Suite's 5817 & 5821 Balitmore MD 21206

Phone: (410) 299-2039 Fax: (410) 488-4041




License:

3579

Contacts:




904969 6/12/2013 12/12/2013Initial 6/26/2013






905139 2/11/2014 2/11/2016General 4/2/2014







Emergency Contact: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039



410-751-7771 410-751-7736


Owner: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


Program Director: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


Sponsor: Ms. Josephine Harris

(410) 521-3597 (410) 299-2039


FacilityName: Sinai Hospital Addictions Recovery Program (SHARP)

Address: 2401 W. Belvedere Ave. Baltimore MD 21215

Phone: (410) 601-5355 Fax: (410) 601-6281




License:

3699

Contacts:







Deaf Services

905049 10/1/2013 10/1/2015General 10/1/2013




Emergency Contact: Tiffany Willis

(410) 601-5363 (410) 902-4780(443) 750-8705 (410) 601-6281


Medical Director: John Urbaitis, MD

(410) 601-5355 (410)601-6281


Owner: Suzanne Harrison, M.P.H

(410) 601-5335 (410) 601-6281


Program Director: Ms. Diane Rohrer

410-467-6040 410-235-8982


Sponsor: Ms. Melissa Vail

(410) 323-9811 (410) 323-5303


FacilityName: Sober Transitions and Recovery Services

Address: 3218 Belair Rd. 1st Floor Baltimore MD 21213

Phone: (443) 813-5677 Fax: (410) 400-0903




License:

3854

Contacts:




905150 5/27/2014 11/27/2014Initial 6/9/2014






Emergency Contact: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Owner: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Program Director: Dr. Ozietta Taylor

443-813-5677 410-400-0909


FacilityName: South Baltimore Station

Address: 140 W. W. St. Baltimore MD 21230

Phone: (410) 752-5917 Fax: (410) 752-4123




License:

2930

Contacts:






904509 4/24/2012 4/24/2014General 4/25/2012





904946 5/6/2013 5/6/2015General 5/8/2013



Emergency Contact: Wynwood Curry

410-752-5917 443-845-8463


Owner: Michael Seipp

410-752-4454 410-754-4123


Program Director: Wynwood Curry

410-752-5917 443-845-8463


Sponsor: Michael Seipp

410-752-4454 410-754-4123


FacilityName: Step by Step of Maryland, LLC

Address: 3602 Mohawk Ave., Suite 200 Baltimore MD 21207

Phone: (410) 744-5200 Fax: (443) 341-6609




License:

3835

Contacts:

Adolescent Program






905137 3/27/2014 9/27/2014Initial 4/2/2014





Emergency Contact: Shajuan Forsey

410-744-5200 443-660-7988443-762-0005 443-341-6609


Owner: Shajuan Forsey

410-744-5200 443-660-7988443-762-0005 443-341-6609


Program Director: Shajuan Forsey

410-744-5200 443-660-7988443-762-0005 443-341-6609


FacilityName: The Bernice E. Meade House of Safe Haven

Address: 1219 N. Chester St. Baltimore MD 21213

Phone: (410) 342-6858 Fax: (410) 732-8139




License:

1051

Contacts:



903326 7/20/2007 1/20/2008Initial 7/31/2007



Emergency Contact: Jewell Gray, MD

410-342-6858 4107328139


Medical Director: Mr. Ronald Gray, MD

4103426858 4107328139


Owner: Jewell Gray, MD

410-342-6858 4107328139


Program Director: Jewell Gray, MD

410-342-6858 4107328139


Sponsor: Jewell Gray, MD

410-342-6858 4107328139


FacilityName: The Hidden Garden Keeper's Club @ Park West

Address: 4120 Patterson Ave. Baltimore MD 21215

Phone: (443) 884-7645 Fax: (443) 423-0002




License:

3438

Contacts:





Deaf Services

904874 1/22/2013 1/22/2015General 2/4/2013





Emergency Contact: Mr. Robert Thomas, CSC-AD

(410)-764-2266 (410) 963-1188 (410) 358-7413

[email protected]


Medical Director: Dr. Lawrence Johnson

443-884-7645 443-423-0002


Owner: Mr. Robert Thomas, CSC-AD

(410)-764-2266 (410) 963-1188 (410) 358-7413


Program Director: Mr. Robert Thomas, CSC-AD

(410)-764-2266 (410) 963-1188 (410) 358-7413


FacilityName: The Self Center, LLC

Address: 3600 Clipper Mill Rd., Suite 203 Baltimore MD 21211

Phone: (410) 653-7353 Fax:




License:

3051

Contacts:




904599 5/7/2012 11/7/2012Initial 5/16/2012




Emergency Contact: Tawnya Sykes

410-653-7353 443-478-6727


Owner: Stacey Zukerberg

410-218-8943


Program Director: Stacey Zukerberg

410-218-8943


Sponsor: Stacey Zukerberg

410-218-8943


FacilityName: Total Health Care, Inc.

Address: 1501 W. Saratoga St. Baltimore MD 21223

Phone: (410) 383-7197 Fax: (410) 383-3131




License:

3053

Contacts:




904600 5/11/2012 5/11/2014General 5/16/2012




Emergency Contact: Wendy Merrick

410-383-7019 410-383-8300 410-383-3131


Medical Director: Joseph Griffin, M.D.

410-383-7197 410-383-8300 410-383-3131


Owner: Wendy Merrick

410-383-7019 410-383-8300 410-383-3131


Program Director: Wendy Merrick

410-383-7019 410-383-8300 410-383-3131


FacilityName: Transitioning Lives

Address: 911 N. Belnord Ave. Baltimore MD 21205

Phone: (410) 534-2141 Fax: (410) 558-1730




License:

3341

Contacts:


904801 10/19/2012 4/19/2013Initial 10/23/2012



905026 8/28/2013 8/28/2015General 9/3/2013



Emergency Contact: Sonya Moore

410-534-2141 410-558-1730


Owner: Meatria Williams-Tyson

410-534-2141 443-801-3141 410-558-1730


Program Director: John Jones

410-534-2141 410-558-1730


Sponsor: Meatria Williams-Tyson

410-534-2141 443-801-3141 410-558-1730


FacilityName: Transitioning Lives, Inc.

Address: 1515 E. Biddle St. Baltimore MD 21213

Phone: (410) 534-2141 Fax: (410) 558-1730




License:

3230

Contacts:



904731 7/27/2012 7/27/2014General 7/31/2012



905024 8/28/2013 8/28/2015General 9/3/2013



Emergency Contact: Ms. Gail Chapman-Robinson

443-462-3411 443-514-6205 443-462-3086

[email protected]



410-534-2141 443-801-3141 410-558-1730


Program Director: Meatria Williams-Tyson

410-534-2141 443-801-3141 410-558-1730



410-534-2141 443-801-3141 410-558-1730


FacilityName: Transitioning Lives, Inc.

Address: 1513 E. Biddle St. Baltimore MD 21213

Phone: (410) 534-2141 Fax: (888) 449-6523




License:

3657

Contacts:




905025 8/28/2013 8/28/2015General 9/3/2013




Emergency Contact: Sonya Moore

410-534-2141 410-558-1730



410-534-2141 443-801-3141 410-558-1730


Program Director: John Jones

410-534-2141 410-558-1730



410-534-2141 443-801-3141 410-558-1730


FacilityName: Treatment Resources for Youth


Phone: (410) 366-2123 Fax: (410) 366-0055


License:

Contacts:

10120 3/16/2004 3/16/2006General 5/30/2005



16293 4/3/2006 4/3/2008General 6/7/2006



903572 4/15/2008 4/15/2010General 4/22/2008



904279 6/28/2011 12/28/2011Initial 7/25/2011




904302 9/12/2011 9/12/2013General 9/15/2011





905022 8/26/2013 8/26/2015General 9/3/2013




905023 8/26/2013 2/26/2014Initial 9/3/2013



905054 8/26/2013 8/26/2015General 10/2/2013





Emergency Contact: Latavia Little

410-366-2123 443-939-5223 410-366-0055


Owner: Latavia Little

410-366-2123 443-939-5223 410-366-0055


Program Director: Joseph Embree

(410) 366-2123 (410) 366-0055


Sponsor: Latavia Little

410-366-2123 443-939-5223 410-366-0055




2569

Adolescent Program




FacilityName: Treatment Resources for Youth at Northwest

Address: 3319 W. Belvedere Ave. Baltimore MD 21215

Phone: (410) 578-8100 Fax: (410) 524-2628




License:

3272

Contacts:

Adolescent Program

904756 8/21/2012 8/21/2014General 8/29/2012





Emergency Contact: Latavia Little

410-366-2123 443-939-5223 410-366-0055


Owner: Latavia Little

410-366-2123 443-939-5223 410-366-0055


Program Director: Latavia Little

410-366-2123 443-939-5223 410-366-0055


Sponsor: Latavia Little

410-366-2123 443-939-5223 410-366-0055


FacilityName: Tuerk House

Address: 601 E. Chase St. Baltimore MD 21202

Phone: (410) 233-0684 Fax: (410) 233-8540




License:

3310

Contacts:


904782 4/2/2012 4/2/2014General 10/1/2012





Emergency Contact: Roger Larson

240-686-0707 443-929-2939 204-686-0711


Medical Director: Paul Kulpinski, M.D.

410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Roger Larson

240-686-0707 443-929-2939 204-686-0711


Program Director: Marsha Swilley

410-233-0684x104 410-526-4888443-703-9306 410-233-8540


Sponsor: Roger Larson

240-686-0707 443-929-2939 204-686-0711


FacilityName: Tuerk House, Inc.

Address: 730 Ashburton St. Baltimore MD 21216

Phone: (410) 233-0684 Fax: (410) 233-8540




License:

1763

Contacts:





903729 6/15/2009 12/15/2009Provisional 6/17/2009





903778 9/21/2009 9/21/2011General 9/25/2009






Level III.7.D -- Residential Detox - -

904732 7/27/2012 7/27/2014General 8/1/2012







Emergency Contact: Marsha Swilley

410-233-0684x104 410-526-4888443-703-9306 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: John Duberg

410-233-0684 410-233-8540


Program Director: Roger Larson

240-686-0707 443-929-2939 204-686-0711


FacilityName: Tuerk House, Inc.- Nilsson House

Address: 5665 Purdue Ave. Baltimore MD 21239

Phone: (410) 323-5328 Fax: (410) 435-8096




License:

3235

Contacts:




Deaf Services

904734 7/27/2012 7/27/2014General 8/1/2012





Emergency Contact: Robin Missouri

410-323-5328 410-274-4507 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Roger Larson

240-686-0707 443-929-2939 204-686-0711


Program Director: Roger Larson

240-686-0707 443-929-2939 204-686-0711


FacilityName: Tuerk House, Inc.- Weisman-Kaplan House


Phone: (410) 467-5291 Fax: (410) 233-8540




License:

3445

Contacts:



904879 1/29/2013 1/29/2015General 2/4/2013





Emergency Contact: John Hargrave

410-233-0684 410-878-0269443-226-2075 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: John Duberg

410-233-0684 410-233-8540


Program Director: John Duberg

410-233-0684 410-233-8540


FacilityName: Turning Point Clinic

Address: 2401 E. N. Ave. Baltimore MD 21213

Phone: (410) 675-2113 Fax: (410) 675-2117




License:

3668

Contacts:






905031 8/28/2013 8/28/2015General 9/4/2013




Emergency Contact: Ms. Elaine Slear

410-675-2113 410-675-2117


Medical Director: Joseph Adams, MD

(410) 620-6077


Owner: Rev. Milton Williams

410-675-2113 410-675-2117


Program Director: Frank Okechukwu

410-675-2113 410-675-2117


Sponsor: Rev. Milton Williams

410-675-2113 410-675-2117


FacilityName: Univ. Counseling Addictions Assessm. Diversion Unit

Address: 1400 E. N. Ave. Baltimore MD 21213

Phone: (410) 878-8661 Fax: (410) 878-8506




License:

243

Contacts:

12555 1/14/2005 1/14/2007General



FacilityName: Universal Counseling Services

Address: 1401 Severn St., Suite 201 Baltimore MD 21230

Phone: (410) 752-5525 Fax: (410) 752-5531




License:

2143

Contacts:






904012 6/29/2010 6/29/2012General 7/8/2010





904762 9/11/2012 9/11/2014General 9/12/2012





Medical Director: Michael Torres, M.D.

410-752-5525 410-752-5531


Owner: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


Program Director: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


Sponsor: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


FacilityName: Universal Counseling Services


Phone: (410) 752-5525 Fax: (410) 752-5531




License:

3280

Contacts:






904763 9/11/2012 3/11/2013Initial 9/12/2012





Emergency Contact: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


Medical Director: Mr. Michael BryantPhone Alt. PhoneCell Fax:

Owner: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


Program Director: Ms. Tracy Schulden

(410) 752-5525 (443) 956-0775 (410) 752-5531


FacilityName: University of Maryland Medical Center, Alcohol & Drug Abuse Program (ADAP)


Phone: (443) 462-3402 Fax: (410) 462-3088




License:

2725

Contacts:




904374 12/6/2011 12/6/2013General 12/13/2011





443-462-3411 443-514-6205 443-462-3086

[email protected]


Owner: Ms. Gail Chapman-Robinson

443-462-3411 443-514-6205 443-462-3086


Program Director: Ms. Gail Chapman-Robinson

443-462-3411 443-514-6205 443-462-3086


FacilityName: University of Maryland Medical Center, Harambee Treatment Center


Phone: (443) 462-3400 Fax: (434) 462-3086




License:

2738

Contacts:

Adolescent Program


904410 12/6/2011 12/6/2013General 1/11/2012






443-462-3411 443-514-6205 443-462-3086

[email protected]



410-837-3313 410-328-2337443-465-6201 410-706-8158



443-462-3411 443-514-6205 443-462-3086



443-462-3411 443-514-6205 443-462-3086


FacilityName: University of Maryland Medical Center, Harambee Treatment Center


Phone: (443) 462-3402 Fax: (443) 462-3086




License:

2812

Contacts:

Adolescent Program


904383 12/6/2011 6/6/2012Initial 12/15/2011



904432 12/6/2011 12/6/2013General 2/22/2012




443-462-3411 443-514-6205 443-462-3086

[email protected]



410-706-7480 410-328-2337410-340-8916 410-328-0020



443-462-3411 443-514-6205 443-462-3086



443-462-3411 443-514-6205 443-462-3086


FacilityName: University of Maryland Medical Center-Harambee Juvenile Drug Court


Phone: (443)462-3418 Fax: (443) 462-3086




License:

2723

Contacts:




904373 12/6/2011 12/6/2013General 12/12/2011





443-462-3411 443-514-6205 443-462-3086

[email protected]



410-837-3313 410-328-2337443-465-6201 410-706-8158



443-462-3411 443-514-6205 443-462-3086



443-462-3411 443-514-6205 443-462-3086


FacilityName: University of Maryland Methadone Program


Phone: (410) 837-3313 Fax: (410) 706-8158




License:

2798

Contacts:





Deaf Services

904422 1/24/2012 1/24/2014General 1/27/2012




Emergency Contact: Ms. Denisha Pendleton, R.N.

(410) 837-3313 (410) 804-1922 (410) 706-8158

[email protected]



410-837-3313 410-328-2337443-465-6201 410-706-8158



410-837-3313 410-328-2337443-465-6201 410-706-8158


Program Director: Mr. Jewell Benford

(410) 837-3313 (410) 706-8158



410-837-3313 410-328-2337443-465-6201 410-706-8158


FacilityName: University of MD Alcohol & Drug OP


Phone: (410) 328-6600 Fax: (410) 328-1079




License:

617

Contacts:

FacilityName: University Psychological Center, Inc. dba Recovery Network

Address: 201 N. Charles St., Suite 200 Baltimore MD 21201

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

2367

Contacts:






904157 2/2/2011 2/2/2013General 2/14/2011



904557 5/2/2012 5/2/2014General 5/7/2012





Emergency Contact: Ms. Crystal Slagle

410-576-9191 443-790-8229 410-576-9257


Medical Director: Ahmad Khan, MD

410-576-9191 410-576-9257


Owner: Clark Hudak, Ph.D.

(410) 576-9191 (443) 790-8228 (410) 576-9257


Program Director: Charles Hudak, M.D.

410-576-9191 443-790-8228 410-576-9257


Sponsor: Charles Hudak, M.D.

410-576-9191 443-790-8228 410-576-9257


Sponsor: Clark Hudak, Ph.D.

(410) 576-9191 (443) 790-8228 (410) 576-9257



Address: 2402 Guilford Ave. Baltimore MD 21218

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

2997

Contacts:





904550 5/2/2012 5/2/2014General 5/4/2012




Emergency Contact: Cyrstal Slagle

410-576-9191 443-790-8229 410-576-9257


Owner: Clark Hudak Jr., Ph.D.

410-576-9191 443-790-8229 410-576-9257


Program Director: Clark Hudak Jr., Ph.D.

410-576-9191 443-790-8229 410-576-9257



Address: 2425 Guilford Ave. Baltimore MD 21218

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3001

Contacts:



904553 5/2/2012 5/2/2014General 5/7/2012





410-576-9191 443-790-8229 410-576-9257


Medical Director: Ahamad Khan, MD

410-576-9191 410-576-9257



410-576-9191 443-790-8229 410-576-9257



410-576-9191 443-790-8229 410-576-9257


Sponsor: Clark Hudak Jr., Ph.D.

410-576-9191 443-790-8229 410-576-9257




Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3005

Contacts:





904556 5/2/2012 5/2/2014General 5/7/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257


Program Director: Clark Hudak, Ph.D.

(410) 576-9191 (443) 790-8228 (410) 576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257




Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3010

Contacts:



904560 5/2/2012 5/2/2014General 5/7/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257



(410) 947-1126 (410) 233-0684



(410) 576-9191 (443) 790-8228 (410) 576-9257



Address: 15 S. Fulton Ave. Baltimore MD 21223

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3014

Contacts:





904563 5/2/2012 5/2/2014General 5/7/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257



(410) 947-1126 (410) 233-0684



(410) 576-9191 (443) 790-8228 (410) 576-9257



Address: 1208-10 James St. Baltimore MD 21223

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3016

Contacts:



904566 5/2/2012 5/2/2014General 5/7/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257


Program Director: Charles Hickey, LCADC

410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257




Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3030

Contacts:



904580 5/2/2012 5/2/2014General 5/10/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257



(410) 947-1126 (410) 233-0684



(410) 576-9191 (443) 790-8228 (410) 576-9257



Address: 2617-19 N. Calvert St. Baltimore MD 21218

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3035

Contacts:




904586 5/2/2012 5/2/2014General 5/10/2012





410-576-9191 443-790-8229 410-576-9257



(410) 576-9191 (443) 790-8228 (410) 576-9257



(410) 947-1126 (410) 233-0684



(410) 576-9191 (443) 790-8228 (410) 576-9257



Address: 1337 W. Lombard St. Baltimore MD 21223

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3043

Contacts:



904594 5/2/2012 5/2/2014General 5/15/2012





410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



410-576-9191 443-790-8229 410-576-9257



410-576-9191 443-790-8229 410-576-9257


FacilityName: Valley House, Inc.


Phone: (410) 675-7765 Fax: (410) 675-9410




License:

2311

Contacts:



904119 11/19/2010 11/19/2012General 11/29/2010



904835 11/15/2012 11/15/2014General 11/29/2012



904860 12/10/2012 12/10/2014General 12/11/2012



Emergency Contact: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Medical Director: Pual Banbera, M.D. Phone Alt. PhoneCell Fax:

Owner: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Program Director: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


Sponsor: Mr. Benjamin Toney

(410) 675-7765 (410) 732-0040(443) 610-1401 (410) 675-7765


FacilityName: Wholistic Counseling, Inc.

Address: 1433 Edmondson Ave. Baltimore MD 21223

Phone: (410) 728-4881 Fax: (410) 462-2515




License:

283

Contacts:

757 7/28/2000 7/28/2002General 5/10/2005



13308 3/22/2005 9/22/2005Initial 5/25/2005



15861 9/6/2004 9/6/2006General 4/14/2006



FacilityName: William Donald Schaefer House

Address: 907 Druid Park Lake Dr. Baltimore MD 21217

Phone: (410) 230-3190 Fax: (410) 333-7385




License:

356

Contacts:

Adolescent Program



12763 1/24/2005 1/24/2007General



903311 4/25/2007 4/25/2009General 7/23/2007



903884 1/12/2010 1/12/2012General 1/12/2010



904725 7/23/2012 7/23/2014General 7/24/2012



Emergency Contact: Ms. Johnitha McNair

410-230-3189 443-438-6659410-608-1209 410-333-7385


Owner: Ms. Johnitha McNair

410-230-3189 443-438-6659410-608-1209 410-333-7385


Program Director: Ms. Johnitha McNair

410-230-3189 443-438-6659410-608-1209 410-333-7385


Sponsor: Ms. Johnitha McNair

410-230-3189 443-438-6659410-608-1209 410-333-7385


FacilityName: Wilson House

Address: 2122 Mura St. Baltimore MD 21211

Phone: (410) 522-4111 Fax: (410) 955-4769




License:

3175

Contacts:



904695 6/29/2012 6/29/2014General 7/10/2012



Emergency Contact: Antionette Carter

410-522-4111 410-779-6039410-710-9489 410-955-4769


Medical Director: Dr. Kenneth Stoller

410-522-4111


Owner: Antionette Carter

410-522-4111 410-779-6039410-710-9489 410-955-4769


Program Director: Antionette Carter

410-522-4111 410-779-6039410-710-9489 410-955-4769


FacilityName: Youth Reaching Out

Address: 3218 Belair Rd. Baltimore MD 21213

Phone: (443) 813-5677 Fax: (410) 400-0903




License:

3590

Contacts:

Adolescent Program


904975 6/26/2013 12/26/2013Initial 7/10/2013





Emergency Contact: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Owner: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Program Director: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Sponsor: Dr. Ozietta Taylor

443-813-5677 410-400-0909


Baltimore County


Address: 110 Painters Mill Rd. Owings Mills MD 21117

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2893

Contacts:




904483 3/30/2012 3/30/2014General 4/3/2012






(410) 481-0770 (410) 312-9273



FacilityName: 1st Alternative Counseling

Address: 10806 Reisterstown Rd., Suite 3C Owings Mills MD 21117

Phone: (410) 356-9466 Fax: (410) 363-2189




License:

821

Contacts:




DWI Education



903217 2/25/2007 2/25/2009General 3/14/2007



904249 6/28/2011 6/28/2013General 7/1/2011




904979 7/10/2013 7/10/2015General 7/11/2013




Emergency Contact: Mr. Isaac YohanasPhone Alt. PhoneCell Fax:

Owner: Mr. Isaac YohanasPhone Alt. PhoneCell Fax:

Program Director: Mr. Isaac YohanasPhone Alt. PhoneCell Fax:

Sponsor: Mr. Isaac YohanasPhone Alt. PhoneCell Fax:

FacilityName: A Helping Hand Health Services, LLC

Address: 6401 Dogwood Rd. Woodlawn MD 21144

Phone: (410) 653-0021 Fax: (410) 653-0070




License:

2359

Contacts:





904152 2/2/2011 2/2/2013General 2/11/2011




904309 2/2/2011 2/2/2013General 10/3/2011




904674 6/20/2012 6/20/2014General 6/27/2012




Emergency Contact: Mr. Page Gross

(410) 653-0021 (410) 499-9838 (410) 653-0070



410-751-7771 410-751-7736


Owner: Mr. Joel Prell

(410) 653-0021 (410) 653-0070


Program Director: Mr. Page Gross

(410) 653-0021 (410) 499-9838 (410) 653-0070


Sponsor: Mr. Joel Prell

(410) 653-0021 (410) 653-0070


FacilityName: A Helping Hand Health Services, LLC

Address: 6401 Dogwood Rd., Suite 201 Woodlawn MD 21144

Phone: (410) 653-0021 Fax: (410) 653-0070




License:

3540

Contacts:





904944 5/6/2013 5/6/2015General 5/8/2013





410-654-5551 (410) 952-0676 410-654-5501

[email protected]



410-751-7771 410-751-7736



(410) 653-0021 (410) 653-0070



(410) 653-0021 (410) 499-9838 (410) 653-0070



(410) 653-0021 (410) 653-0070


FacilityName: Addictions Counseling Service

Address: 17 Warren Rd., Suite 26 B Baltimore MD 21208

Phone: (410) 484-3333 Fax: (410) 704-3453




License:

795

Contacts:




DWI Education

903180 12/20/2006 6/20/2007Initial 12/27/2006



903678 12/1/2008 12/1/2010General 12/5/2008



904508 4/24/2012 4/24/2014General 4/25/2012




DWI Program Director: Ms. Roberta Atkinson

4104846021 4102394427


Emergency Contact: Ms. Roberta Atkinson

4104846021 4102394427


Emergency Contact: Mr. Charles RousePhone Alt. PhoneCell Fax:

Owner: Ms. Roberta Atkinson

4104846021 4102394427


Program Director: Ms. Roberta Atkinson

4104846021 4102394427


Sponsor: Ms. Roberta Atkinson

4104846021 4102394427


FacilityName: Alternatives to Dependency

Address: 532 Eastern Blvd., Suite 202 Baltimore MD 21221

Phone: (410) 391-8240 Fax: (443) 460-0293




License:

2539

Contacts:

Adolescent Program




904261 6/30/2011 6/30/2013General 7/7/2011




Emergency Contact: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Owner: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Program Director: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Sponsor: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


FacilityName: Alternatives to Dependency

Address: 110 E. Pennsylvania Ave. Towson MD 21286

Phone: (410) 583-2222 Fax: (410) 583-2377




License:

190

Contacts:



DWI Education


10471 4/26/2004 4/26/2006General



904260 6/30/2011 6/30/2013General 7/7/2011




Emergency Contact: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Owner: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Program Director: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


Sponsor: Theo Lamaire, Ph.D.

(410) 583-2222 (410) 8583-7259(410) 591-8461 (410) 583-2377


FacilityName: Awakenings Counseling Program

Address: 2 W. Aylesbury Rd. Timonium MD 21093

Phone: (410) 561-9591 Fax: (410) 560-1082




License:

3670

Contacts:




905032 8/19/2013 8/19/2015General 9/5/2013





Emergency Contact: Dominic Spano

410-484-2700 502-802-6575 410-484-1947



(410) 354-2800 (410) 354-2841


Owner: Dominic Spano

410-484-2700 502-802-6575 410-484-1947


Program Director: Ms. Edith Osineme

(410) 561-9591 (443) 854-0504 (410) 560-1082


Sponsor: Dominic Spano

410-484-2700 502-802-6575 410-484-1947


FacilityName: BD Health Services, Inc.

Address: 3955 Old N. Point Rd. Dundalk MD 21221

Phone: (410) 477-0744 Fax: (410) 510-1123




License:

2927

Contacts:





904507 4/19/2012 4/19/2014General 4/23/2012




Emergency Contact: Ms. Crystal Pulsirisaroth

410-477-0744 301-362-9303301-343-2698 410-510-1123



410-382-7475 410-789-1987


Owner: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


Program Director: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


Sponsor: Mr. Moshe Markowitz

(443) 904-3424 (443) 904-3424 (410) 510-1123


FacilityName: Center for Mental Health, LLC

Address: 222 Bosley Ave., Suite C-3 Towson MD 21204

Phone: (410) 321-9311 Fax: (410) 321-9314



PrivateClinic ID: 2

License:

2519

Contacts:



904248 6/28/2011 6/28/2013General 7/1/2011




Emergency Contact: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


Owner: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


Program Director: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


Sponsor: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


FacilityName: Center for Mental Health, LLC

Address: 658 Kennelworth Dr., Suite 206 Towson MD 21204

Phone: (410) 321-9311 Fax: (410) 321-9314




License:

2719

Contacts:

Adolescent Program





904371 11/9/2011 11/9/2013General 12/12/2011




905117 1/9/2014 1/9/2016General 1/10/2014





Emergency Contact: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


Owner: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


Program Director: Ms. Dena Leibowitz

(410) 321-9314 (410) 321-9314(410) 321-9314 (410) 321-9314


FacilityName: Chesapeake Counseling Services

Address: 7 Margaret Ave. Baltimore MD 21221

Phone: (410) 682-4141 Fax: (410) 682-6833




License:

986

Contacts:

DWI Education

15668 1/30/2006 8/9/2007General 4/14/2006



903361 8/28/2007 8/28/2009General 9/17/2007




Emergency Contact: Mr. William Kerr

410-682-4141 410-227-2747 410-682-6833


Owner: Mr. William Kerr

410-682-4141 410-227-2747 410-682-6833


Program Director: Mr. William Kerr

410-682-4141 410-227-2747 410-682-6833


Sponsor: Mr. William Kerr

410-682-4141 410-227-2747 410-682-6833


FacilityName: Counseling Resource Associates

Address: 6423 Frederick Rd., Suite 202 Catonsville MD 21228

Phone: (410) 788-4360 Fax:




License:

1371

Contacts:

DWI Education

903500 1/22/2008 1/22/2010General 2/21/2008




903526 1/22/2008 1/22/2010General 3/3/2008




Emergency Contact: Mr. Robert Armstrong

(410) 615-9612 (410) 788-4360(410) 615-9612


Medical Director: Mr. Robert Armstrong

(410) 615-9612 (410) 788-4360(410) 615-9612


Owner: Mr. Robert Armstrong

(410) 615-9612 (410) 788-4360(410) 615-9612


Program Director: Mr. Robert Armstrong

(410) 615-9612 (410) 788-4360(410) 615-9612


FacilityName: Drive Safe

Address: 110 Painters Mill Rd. Owings Mills MD 21117

Phone: (443) 744-3164 Fax: (443) 895-4658




License:

2844

Contacts:



904452 3/7/2012 9/7/2012Initial 3/12/2012



904757 8/27/2012 8/27/2014General 9/4/2012



Emergency Contact: Jacqueline Wimberly-Hardy

43-744-3164 443-744-3127 410-252-7459


Owner: Gary Hardy

43-744-3164 443-744-3127 410-252-7459


Program Director: Gary Hardy

43-744-3164 443-744-3127 410-252-7459


Sponsor: Gary Hardy

43-744-3164 443-744-3127 410-252-7459


FacilityName: Epoch Counseling Center

Address: 1107 N. Point Blvd. Suite 205 Dundalk MD 21224

Phone: (410) 284-3070 Fax: (410) 285-3848




License:

2585

Contacts:

Adolescent Program







Deaf Services

904289 8/15/2011 8/15/2013General 8/19/2011





904976 7/10/2013 7/10/2015General 7/11/2013





Emergency Contact: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674


Medical Director: Dr. Robert SchwartzPhone Alt. PhoneCell Fax:

Owner: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674


Program Director: Mr. Pete Taylor

(410) 744-5937 (410) 744-4674


Sponsor: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674



Address: 621 Stemmers Run Rd., Suite E Essex MD 21221

Phone: (410) 574-2500 Fax: (410) 574-4478




License:

2589

Contacts:

Adolescent Program







Deaf Services

904291 8/15/2011 8/15/2013General 8/19/2011





904977 7/10/2013 7/10/2015General 7/11/2013





Emergency Contact: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674




(410) 744-5937 (410) 744-4674


Program Director: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674



(410) 744-5937 (410) 744-4674



Address: 800 Ingleside Ave. Catonsville MD 21228

Phone: (410) 744-5937 Fax: (410) 744-4674




License:

3594

Contacts:

Adolescent Program





904978 7/10/2013 7/10/2015General 7/11/2013





Emergency Contact: Ms. Manette Mapa

(410) 744-5937 443-570-2298 (410) 744-4674




(410) 744-5937 (410) 744-4674


Program Director: Ms. Susan Tangires

(410) 744-5937 (410) 744-4674



(410) 744-5937 (410) 744-4674


FacilityName: First Step Inc.

Address: 100 Owings Court, Suite 8 Reisterstown MD 21136

Phone: (410) 526-7100 Fax: (410) 526-7138




License:

3493

Contacts:

Adolescent Program






904911 3/22/2013 3/22/2015General 3/28/2013





Emergency Contact: Mr. James Perrone

(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


Medical Director: Gregory Pokrywka, M.D. Phone Alt. PhoneCell Fax:

Owner: Mr. James Perrone

(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


Program Director: Mr. James Perrone

(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


Sponsor: Mr. James Perrone

(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


FacilityName: First Step, Inc.

Address: 10400 Ridgland Rd. Cockeysville MD 21030

Phone: (410) 628-6120 Fax: (410) 628-0953




License:

2426

Contacts:

Adolescent Program







904193 4/21/2011 10/21/2011Initial 4/25/2011



904912 3/22/2013 3/22/2015General 3/28/2013






(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


Medical Director: Don Smith, M.D. Phone Alt. PhoneCell Fax:

Medical Director: Gregory Pokrywka, M.D. Phone Alt. PhoneCell Fax:


(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138



(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138



(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


FacilityName: First Step, Inc. dba A.W.A.R.E

Address: 7801 York Rd, Suite 203 Towson MD 21204

Phone: (410) 825-7077 Fax: (410) 825-0276




License:

2424

Contacts:




904192 4/21/2011 10/21/2011Initial 4/25/2011



904258 7/1/2011 7/1/2013General 7/7/2011






(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


Medical Director: Donald SmithPhone Alt. PhoneCell Fax:


(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138



(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138



(410) 526-7100 (410) 740-9759(443) 831-9302 (410) 526-7138


FacilityName: Gaudenzia, Inc. at Owings Mills

Address: 10225 Jensen Ln Owings Mills MD 21117

Phone: (410) 887-1503 Fax: (610) 239-9600




License:

3354

Contacts:




904809 10/24/2012 4/24/2013Initial 11/2/2012



904853 11/19/2012 11/19/2014General 11/29/2012







Emergency Contact: Marvin Brown

410-887-1503 443-945-2087


Owner: Marvin Brown

410-887-1503 443-945-2087


Program Director: Marvin Brown

410-887-1503 443-945-2087


Sponsor: Marvin Brown

410-887-1503 443-945-2087


FacilityName: Global HealthCare Systems, Inc.

Address: 1045 Taylor Ave., Suite 104 Baltimore MD 21286

Phone: (410) 296-0180 Fax: (410) 296-1687




License:

2528

Contacts:

Adolescent Program





904254 6/30/2011 6/30/2013General 7/7/2011





904980 7/10/2013 7/10/2015General 7/11/2013





Emergency Contact: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Owner: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Program Director: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Sponsor: Mr. Michael FowowePhone Alt. PhoneCell Fax:

FacilityName: Healthcare Living for Families

Address: 9216 Liberty Rd. Randallstown MD 21233

Phone: (410) 701-7384 Fax: (410) 521-7005




License:

3426

Contacts:

Adolescent Program






904865 12/11/2012 6/11/2013Initial 12/12/2012




904994 8/7/2013 8/7/2015General 8/9/2013




Emergency Contact: Patrick Gollegley

410-701-7384 443-839-9993 410-521-7005


Medical Director: Dr. Adebowale Popoola

410-701-7384 410-521-7005


Owner: Dr. Adebowale Popoola

410-701-7384 410-521-7005


Program Director: Ms. Yvonne Brock

(301) 217-5416 (301) 821-3805 (301) 424-3841

ybrock@ahmPhone Alt. PhoneCell Fax:

FacilityName: Hope Health Systems, Inc.

Address: 6707 Whitestone Rd., Suite 106 Gwynn Oak MD 21207

Phone: (410) 265-8737 Fax: (410) 265-1258




License:

2831

Contacts:

Adolescent Program




904444 3/1/2012 9/1/2012Initial 3/6/2012





904751 8/21/2012 8/21/2014General 8/22/2012





Emergency Contact: Yinka Fadiora

410-265-8737 443-865-7552 410-265-1258


Medical Director: Dr. Akinwande AkintolaPhone Alt. PhoneCell Fax:

Owner: Yinka Fadiora

410-265-8737 443-865-7552 410-265-1258


Program Director: Yinka Fadiora

410-265-8737 443-865-7552 410-265-1258


Sponsor: Yinka Fadiora

410-265-8737 443-865-7552 410-265-1258


FacilityName: Huber & Associates

Address: 500 Woodbourne Ave. Baltimore MD 21212

Phone: (410) 248-0257 Fax: (443) 795-9670




License:

1639

Contacts:

Adolescent Program




903651 7/23/2008 1/23/2009Initial 8/26/2008





905016 8/22/2013 8/22/2015General 8/26/2013





Emergency Contact: Ms. Deborah HuberPhone Alt. PhoneCell Fax:

Owner: Ms. Deborah HuberPhone Alt. PhoneCell Fax:

Program Director: Ms. Deborah HuberPhone Alt. PhoneCell Fax:

Program Director: Ms. Shawana Quarles-Johnson


Sponsor: Ms. Deborah HuberPhone Alt. PhoneCell Fax:

FacilityName: Huber & Associates

Address: 500 Woodbourne Ave. Baltimore MD 21212

Phone: (410) 248-0257 Fax: (443) 795-9670




License:

1639

Contacts:

Adolescent Program




903651 7/23/2008 1/23/2009Initial 8/26/2008





905016 8/22/2013 8/22/2015General 8/26/2013








Program Director: Ms. Shawana Quarles-Johnson


Sponsor: Ms. Deborah HuberPhone Alt. PhoneCell Fax:

FacilityName: Huber & Associates - Changes

Address: 1400 E. Federal St., Suite #2 Baltimore MD 21213

Phone: (410) 248-0257 Fax: (443) 708-4891




License:

1665

Contacts:



903670 10/23/2008 4/23/2009Initial 10/31/2008







FacilityName: Jewish Community Services - Addiction Program


Phone: (410) 466-9200 Fax: (410) 843-7585




License:

1800

Contacts:


DWI Education


903755 8/4/2009 8/4/2011General 8/7/2009



Emergency Contact: Ms. Lisa Weinstein, LCSW-C

410-483-7458 410-843-7585

[email protected]


Owner: Ms. Lisa Weinstein, LCSW-C

410-483-7458 410-843-7585


Program Director: Ms. Lisa Weinstein, LCSW-C

410-483-7458 410-843-7585



Address: 6525 N. Charles St., The Gibson Building, Suite 085 Towson MD 21204

Phone: (410) 296-2232 Fax: (410) 296-2359




License:

2939

Contacts:




904514 4/23/2012 4/23/2014General 4/25/2012








Program Director: Dr. George KolodnerPhone Alt. PhoneCell Fax:


FacilityName: Maryland Center for Health Psychology

Address: 21 W. Rd., Suite 150 Towson MD 21204

Phone: (410) 825-0042 Fax: (410) 825-0310




License:

1538

Contacts:

Adolescent Program


10025 2/25/2004 2/25/2006General 5/5/2005



12553 1/10/2005 1/10/2007General



903602 5/8/2008 5/8/2010General 6/10/2008



Emergency Contact: Ralph Raphael, Ph.D.

410-825-0042 410-825-0310


Medical Director: Ralph Raphael, Ph.D.

410-825-0042 410-825-0310


Owner: Ralph Raphael, Ph.D.

410-825-0042 410-825-0310


Program Director: Ralph Raphael, Ph.D.

410-825-0042 410-825-0310


FacilityName: MBA - Timonium


Phone: (410) 561-9591 Fax: (410) 560-1082




License:

3672

Contacts:



905033 8/22/2013 8/22/2015General 9/5/2013





Emergency Contact: Dominic Spano

410-484-2700 502-802-6575 410-484-1947



(410) 354-2800 (410) 354-2841


Owner: Dominic Spano

410-484-2700 502-802-6575 410-484-1947


Program Director: Ms. Edith Osineme

(410) 561-9591 (443) 854-0504 (410) 560-1082


Sponsor: Dominic Spano

410-484-2700 502-802-6575 410-484-1947


FacilityName: MBA Southeast Baltimore County

Address: 8860 Citation Rd. Baltimore MD 21221

Phone: (410) 486-2500 Fax: (410) 486-8686




License:

2257

Contacts:






904079 6/2/2010 6/2/2012General 10/5/2010






(410) 484-2700 (410) 484-1949


Medical Director: Dr. Olga Rossello

(410) 484-2700 410-484-1947



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949


FacilityName: MBA Southeast Baltimore County

Address: 8860 Citation Rd. Baltimore MD 21221

Phone: (410) 486-2500 Fax: (410) 780-8686




License:

2661

Contacts:






904335 11/17/2011 5/17/2012Initial 11/28/2011






(410) 484-2700 (410) 484-1949



410-484-2700 410-484-1949



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949



(410) 484-2700 (410) 484-1949


FacilityName: Methadone for Business Achievers - Timonium


Phone: (410) 561-9591 Fax: (410) 560-1082




License:

2603

Contacts:






904299 8/22/2011 8/22/2013General 8/24/2011






(410) 484-2700 (410) 484-1949



(410) 354-2800 (410) 354-2841



410-484-2700 410-484-1947



(410) 484-2700 (410) 484-1949


Sponsor: Sheldon Glass, M.D.

410-484-2700 410-484-1947


FacilityName: Mid-Atlantic Treatment Services, Inc.d/b/a Crossroads Centers

Address: 2622 Lord Balt. Dr., Suite D Windsor Mill MD 21244

Phone: (410) 654-5551 Fax: (410) 654-5501




License:

2133

Contacts:



904006 6/8/2010 6/8/2012General 6/17/2010




904007 6/8/2010 12/8/2010Initial 6/17/2010



904655 6/13/2012 6/13/2014General 6/13/2012






410-654-5551 (410) 952-0676 410-654-5501

[email protected]



410-894-3590 410-296-2359


Owner: Ms. Barbara McKenna

(410) 752-6505 (410) 627-6585 (410) 385-1237


Owner: Ms. Dawn James, LCADC, LCSW-C

410-654-5551 (410) 952-0676 410-654-5501


Program Director: Ms. Dawn James, LCADC, LCSW-C

410-654-5551 (410) 952-0676 410-654-5501

[email protected]


FacilityName: Mosaic Community Services Dual Diagnosis Program

Address: 1931 Greenspring Dr. Timonium MD 21093

Phone: (410) 453-9553 Fax: (410) 308-8926




License:

2080

Contacts:

Adolescent Program





903971 5/13/2010 11/13/2010Initial 5/13/2010



904159 2/9/2011 2/9/2013General 2/16/2011



Emergency Contact: Oleg Tarkovsky

(410) 453-9553 (410) 484-1675(443) 858-6534 (410) 308-8926


Medical Director: Dr. Raymond Hoffman

(410) 453-9553 (410) 308-8926


Owner: Oleg Tarkovsky

(410) 453-9553 (410) 484-1675(443) 858-6534 (410) 308-8926


Program Director: Oleg Tarkovsky

(410) 453-9553 (410) 484-1675(443) 858-6534 (410) 308-8926


FacilityName: Mosaic Community Services Partners in Recovery-Dundalk

Address: 1101 N. Point Blvd., #124 Dundalk MD 21224

Phone: (410) 285-8157 Fax: (410) 285-8298




License:

2344

Contacts:




904140 1/21/2011 1/21/2013General 1/25/2011






904941 5/3/2013 5/3/2015General 5/8/2013






Emergency Contact: Mr. Justin ProctorPhone Alt. PhoneCell Fax:


410-894-3590 410-296-2359


Owner: Ms. Dawn Hurley

(410) 453-9553 (410) 308-8926


Program Director: Ms. Dawn Hurley

(410) 453-9553 (410) 308-8926


Sponsor: Ms. Dawn Hurley

(410) 453-9553 (410) 308-8926



Address: 1101 N. Point Blvd., Suite 124 Dundalk MD 21224

Phone: (410) 285-8157 Fax: (410) 285-8298




License:

3436

Contacts:






904873 1/22/2013 1/22/2015General 2/4/2013








410-894-3590 410-296-2359


Owner: Mr. Jeff Richardson

(410) 453-9553 (410) 308-8926



(410) 453-9553 (410) 308-8926


Sponsor: Mr. Jeff Richardson

(410) 453-9553 (410) 308-8926



Address: 40 S. Dundalk Ave. Dundalk MD 21224

Phone: (410) 285-8157 Fax: (410) 285-8298




License:

3598

Contacts:






904982 7/19/2013 7/19/2015General 7/22/2013








410-894-3590 410-296-2359


Owner: Mr. Justin ProctorPhone Alt. PhoneCell Fax:


(410) 453-9553 (410) 308-8926


Sponsor: Mr. Justin ProctorPhone Alt. PhoneCell Fax:

FacilityName: Phoenix Therapeutic Foundation, Inc.

Address: 5602 Balt. National Pike, 7th Floor Catonsville MD 21228

Phone: (410) 744-9100 Fax: (410) 747-0226




License:

2859

Contacts:

Adolescent Program






904460 3/14/2012 9/14/2012Initial 3/19/2012




Emergency Contact: Helen Scism

410-744-9100 443-299-6149443-799-0741 410-747-0226


Owner: Amr Elbeshin

410-744-9100 410-747-0226


Program Director: Amr Elbeshin

410-744-9100 410-747-0226


Sponsor: Amr Elbeshin

410-744-9100 410-747-0226


FacilityName: Polaris Recovery Center

Address: 110 W. Rd. Suite 410 Towson MD 21204

Phone: (410) 773-0500 Fax: (410) 773-0501




License:

3779

Contacts:





905100 11/10/2013 5/10/2014Initial 12/5/2013








Emergency Contact: Sam Bierman

410-773-0500x100 516-319-7041 410-773-0501


Owner: Sam Bierman

410-773-0500x100 516-319-7041 410-773-0501


Program Director: Stacey Sugar

410-773-0500 410-773-0501


Sponsor: Sam Bierman

410-773-0500x100 516-319-7041 410-773-0501


FacilityName: S & S Counseling Services, Inc.

Address: 5512 Ebenezer Rd. White Marsh MD 21162

Phone: (410) 574-1850 Fax: (410) 335-2355




License:

3496

Contacts:



904913 3/5/2013 3/5/2015Provisional 3/28/2013




Emergency Contact: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:

Owner: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:

Program Director: Ms. Deborah Edmonds

410-574-1850 410-335-2355


Sponsor: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:

FacilityName: The Bergand Group

Address: 1300 York Rd., Suite 300 C Lutherville MD 21093

Phone: (410) 853-7691 Fax: (443) 519-5167




License:

3376

Contacts:





904824 10/31/2012 4/30/2013Initial 11/13/2012





904926 4/23/2013 4/23/2015General 4/26/2013





905157 4/30/2014 4/30/2016General 6/26/2014






Emergency Contact: John Steinberg, M.D.

410-853-7691 410-655-1463410-375-2292 443-519-5167


Medical Director: John Steinberg, M.D.

410-853-7691 410-655-1463410-375-2292 443-519-5167


Owner: Paul Giannandrea, M.D.

410-573-5435 410-573-5401


Program Director: James Haskell, LCSW-C

410-853-7691


Program Director: Paul Giannandrea, M.D.

410-573-5435 410-573-5401


FacilityName: The Bergand Group

Address: 1300 York Rd., Suite 300 C Lutherville MD 21093

Phone: (410) 853-7691 Fax: (443) 519-5167




License:

3376

Contacts:





904824 10/31/2012 4/30/2013Initial 11/13/2012





904926 4/23/2013 4/23/2015General 4/26/2013





905157 4/30/2014 4/30/2016General 6/26/2014






Emergency Contact: John Steinberg, M.D.

410-853-7691 410-655-1463410-375-2292 443-519-5167


Medical Director: John Steinberg, M.D.

410-853-7691 410-655-1463410-375-2292 443-519-5167


Owner: Paul Giannandrea, M.D.

410-573-5435 410-573-5401


Program Director: James Haskell, LCSW-C

410-853-7691


Program Director: Paul Giannandrea, M.D.

410-573-5435 410-573-5401


FacilityName: The Hart Group

Address: 2914-E. Joppa Rd., Suite 204 Parkville MD 21234

Phone: (410) 661-7200 Fax: (410) 665-3713




License:

2959

Contacts:





904524 5/1/2012 5/1/2014General 5/1/2012




Emergency Contact: Ms. Michelle Hadaway

(410) 661-7200 (410) 665-3717


Owner: Ms. Michelle Hadaway

(410) 661-7200 (410) 665-3717


Program Director: Ms. Michelle Hadaway

(410) 661-7200 (410) 665-3717


FacilityName: The Resource Group

Address: 1615 York Rd., Suite 105 Towson MD 21204

Phone: (410) 337-7772 Fax: (443) 650-0709




License:

3537

Contacts:




904942 5/1/2013 5/1/2015General 5/8/2013





Emergency Contact: Elliott Driscoll

410-233-0684x104 609-647-6779 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Mr. John Davis, Ph.D.

(410) 337-7772 (410) 744-8843(410) 961-0475 (410) 337-8729


Program Director: Debra Washington-Driscoll

732-647-6477


Sponsor: Gloria Davis

410-961-0475


FacilityName: The Resource Group

Address: 1615 York Rd., Suite 105 Lutherville MD 21093

Phone: (443) 275-7046 Fax: (443) 650-0709




License:

3844

Contacts:





905144 4/18/2014 10/18/2014Initial 5/16/2014



905149 5/1/2013 5/1/2015General 5/29/2014






410-233-0684x104 609-647-6779 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Elliott Driscoll

410-233-0684x104 609-647-6779 410-233-8540


Program Director: Debra Washington-Driscoll

732-647-6477


Sponsor: Elliott Driscoll

410-233-0684x104 609-647-6779 410-233-8540


Sponsor: Gloria Davis

410-961-0475


FacilityName: Towson Addictions Center

Address: 102 W. Pennsylvania Ave. Suite 306 Towson MD 21204

Phone: (410) 337-8193 Fax: (410) 337-8192




License:

2182

Contacts:

Adolescent Program






904033 7/26/2010 7/26/2012General 7/28/2010



904034 7/26/2010 1/26/2011Initial 7/28/2010



Emergency Contact: Dr. Paul BermanPhone Alt. PhoneCell Fax:

Owner: Dr. Paul BermanPhone Alt. PhoneCell Fax:

Program Director: Dr. Paul BermanPhone Alt. PhoneCell Fax:

Sponsor: Dr. Paul BermanPhone Alt. PhoneCell Fax:

FacilityName: Towson University Counseling Center

Address: 8000 York Rd. Glen Esk Bldg Towson MD 21252

Phone: (410) 704-2512 Fax: (410) 704-3453




License:

668

Contacts:


903145 10/5/2006 10/5/2008General 10/24/2006




Emergency Contact: Ms. Jane Halpern

1-410-704-2466 1-410-704-3453


Owner: Mr. James Henschen

(410) 704-2512 (410) 704-3453


Program Director: Mr. James Henschen

(410) 704-2512 (410) 704-3453


SAMIS Liaison: Mr. James Henschen

(410) 704-2512 (410) 704-3453


FacilityName: Turning Corners, Inc.

Address: 9525 Harford Rd. Baltimore MD 21234

Phone: (410) 893-3896 Fax: (410) 893-3896




License:

3743

Contacts:




905078 11/22/2013 11/22/2015General 11/22/2013





Emergency Contact: Evanne Rue

410-893-3896 1-240-538-1671 410-893-3896


Owner: Ms. Patricia Lilly

(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936


Program Director: Ms. Patricia Lilly

(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936


Sponsor: Ms. Patricia Lilly

(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936



Address: 8831 Satyr Hill Rd. Parkville MD 21234

Phone: (410) 893-3896 Fax: (410) 893-3896




License:

3813

Contacts:




905125 2/5/2014 2/5/2016General 2/6/2014






410-893-3896 1-240-538-1671 410-893-3896



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936


Calvert County

FacilityName: Calvert County Substance Abuse Services- Lusby

Address: 20 Appeal Ln Lusby MD 20657

Phone: (410) 286-0547 Fax: (410) 535-4537




License:

3195

Contacts:







904707 6/28/2012 6/28/2014General 7/12/2012





Emergency Contact: Dr. Roe Rodgers-Bonaccorsy

410-535-3079 410-535-2220

[email protected]


Owner: Dr. Roe Rodgers-Bonaccorsy

410-535-3079 410-535-2220


Program Director: Dr. Roe Rodgers-Bonaccorsy

410-535-3079 410-535-2220


FacilityName: Calvert Substance Abuse Services- Barstow

Address: 280 Stafford Rd. Barstow MD 20610

Phone: (410) 535-3079 Fax: (410) 535-2220




License:

3243

Contacts:

Adolescent Program







Deaf Services

904738 7/23/2012 7/23/2014General 8/7/2012






410-535-3079 410-535-2220

[email protected]



410-535-3079 410-535-2220



410-535-3079 410-535-2220


FacilityName: Calvert Substance Abuse Services- Chesapeake Beach

Address: 3819 Harbor Rd., Suite 103 Chesapeake Beach MD 20732

Phone: (410) 535-3079 Fax: (410) 535-2220




License:

2175

Contacts:






904029 7/23/2010 7/23/2012General 7/28/2010



904724 6/28/2012 6/28/2014General 7/20/2012






410-535-3079 410-535-2220

[email protected]



410-535-3079 410-535-2220



410-535-3079 410-535-2220


Sponsor: Dr. Roe Rodgers-Bonaccorsy

410-535-3079 410-535-2220


FacilityName: Certified Counseling Services of Dunkirk, Inc.

Address: 10684 Southern Maryland Boulevard; P.O. Box 430 Dunkirk MD 20754

Phone: (410) 610-2595 Fax: (410) 257-6250




License:

3302

Contacts:





904777 9/19/2012 9/19/2014General 9/25/2012




Emergency Contact: Ms. Terry Wood

410-610-2595 410-286-7450 410-257-6250


Owner: Monica Harding, M.A., LCADC

410-610-2595 410-257-6250


Program Director: Ms. Terry Wood

410-610-2595 410-286-7450 410-257-6250


Sponsor: Monica Harding, M.A., LCADC

410-610-2595 410-257-6250


FacilityName: Courage to Change of Southern Maryland

Address: 96 Armory Rd. Suite 102 Prince Frederick MD 20678

Phone: (410) 414-9050 Fax: (410) 414-9060




License:

689

Contacts:




DWI Education

12468 12/1/2004 12/1/2006General



903080 3/3/2006 3/3/2008General 8/31/2006




904525 5/1/2012 5/1/2014General 5/1/2012





Emergency Contact: Ms. Marjorie Humke, M.S.A, L.C.A.D.C.

(410) 414-9050 (410) 610-3180 (410) 414-9060

[email protected]


Owner: Ms. Marjorie Humke, M.S.A, L.C.A.D.C.

(410) 414-9050 (410) 610-3180 (410) 414-9060


Program Director: Ms. Marjorie Humke, M.S.A, L.C.A.D.C.

(410) 414-9050 (410) 610-3180 (410) 414-9060

[email protected]


SAMIS Liaison: Ms. Laura BradyPhone Alt. PhoneCell Fax:

Sponsor: Ms. Marjorie Humke, M.S.A, L.C.A.D.C.

(410) 414-9050 (410) 610-3180 (410) 414-9060

[email protected]


FacilityName: Living Waters Program

Address: 125 Thomas Gantt Rd. Huntingtown MD 20639

Phone: (301) 855-1458 Fax: (410) 535-4305




License:

671

Contacts:






DWI Education

903020 7/7/2006 7/7/2008General 7/24/2006




903665 9/25/2008 9/25/2010General 10/21/2008





904783 10/1/2012 10/1/2014General 10/10/2012





Emergency Contact: Ms. Glinda AndersonPhone Alt. PhoneCell Fax:

Emergency Contact: Ms. Mabel Demby

301-259-2360240-320-3405


Owner: Ms. Glinda AndersonPhone Alt. PhoneCell Fax:

Program Director: Ms. Glinda AndersonPhone Alt. PhoneCell Fax:

SAMIS Liaison: Ms. Glinda AndersonPhone Alt. PhoneCell Fax:

Sponsor: Ms. Glinda AndersonPhone Alt. PhoneCell Fax:

FacilityName: The Carol M. Porto Treatment Center

Address: 125 Fairground Rd. Prince Frederick MD 20678

Phone: (410) 535-8930 Fax: (410) 535-8935




License:

1560

Contacts:





903607 5/7/2008 5/7/2010General 6/25/2008





904910 3/26/2013 3/26/2015General 3/28/2013





Emergency Contact: Ms. Carol Porto

(410) 535-8930 (410) 535-8935


Owner: Ms. Carol Porto

(410) 535-8930 (410) 535-8935


Program Director: Ms. Carol Porto

(410) 535-8930 (410) 535-8935


Sponsor: Ms. Carol Porto

(410) 535-8930 (410) 535-8935


Caroline County

FacilityName: Caroline Counseling Center

Address: 101 Gay St. Denton MD 21629

Phone: (410) 479-1882 Fax: (410) 479-4918




License:

3306

Contacts:



904779 9/25/2012 9/25/2014General 9/28/2012



Emergency Contact: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


Medical Director: Leland Spencer, MD, MPH

(410) 479-8030 (410) 778-1350 (410) 479-0554


Owner: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


Program Director: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


Sponsor: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


FacilityName: Caroline Counseling Center

Address: 104 Franklin St. Denton MD 21629

Phone: (410) 479-1882 Fax: (410) 479-4918




License:

3548

Contacts:

Adolescent Program







Deaf Services

904950 5/21/2013 5/21/2015General 5/28/2013





Emergency Contact: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285



(410) 479-8030 (410) 778-1350 (410) 479-0554


Owner: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


Program Director: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


Sponsor: Timothy Dove, M.H.S.

410-479-1882 x303 410-535-5285


FacilityName: South County Addiction Services

Address: Town Hall- Main St. and Morris Ave. Federalsburg MD 21632

Phone: (410) 829-1080 Fax: (410) 819-6559




License:

3299

Contacts:




904775 9/17/2012 3/17/2013Initial 9/25/2012




904989 8/6/2013 8/6/2015General 8/9/2013




Emergency Contact: Mr. James BrownPhone Alt. PhoneCell Fax:

Owner: Mr. James BrownPhone Alt. PhoneCell Fax:

Program Director: Mr. James BrownPhone Alt. PhoneCell Fax:

Sponsor: Mr. James BrownPhone Alt. PhoneCell Fax:

Carroll County

FacilityName: BH Health Services, Inc.

Address: 450 E. Main St. Westminster MD 21157

Phone: (410) 871-3005 Fax: (443) 293-8711




License:

2846

Contacts:



904453 11/9/2010 11/9/2012General 3/19/2012




904862 12/11/2012 12/11/2014General 12/12/2012




905008 8/13/2013 2/13/2014Initial 8/19/2013



Emergency Contact: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Medical Director: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Owner: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


Program Director: Noel Reeves

410-871-3005 443-293-8711


Sponsor: Babak Imanoel, D. O.

410-871-3005 410-627-0007 410-751-7450


FacilityName: Bureau of Prevention, Wellness and Recovery-Detention Services

Address: 100 N. Court St. Westminster MD 21157

Phone: (410) 876-2622 Fax: (410) 386-2933




License:

3334

Contacts:


904797 10/16/2012 10/16/2014General 10/19/2012




Owner: Sue DoylePhone Alt. PhoneCell Fax:

Program Director: Sue DoylePhone Alt. PhoneCell Fax:

FacilityName: Bureau of Prevention, Wellness and Recovery-Outpatient Services

Address: 290 S. Center St. Westminster MD 21157

Phone: (410) 876-4800 Fax: (410) 876-4832




License:

3336

Contacts:





Deaf Services

904798 10/16/2012 10/16/2014General 10/19/2012





Emergency Contact: Sue DoylePhone Alt. PhoneCell Fax:

Owner: Sue DoylePhone Alt. PhoneCell Fax:

Program Director: Harald Graning

(410) 876-4800 (410) 876-4832


Sponsor: Sue DoylePhone Alt. PhoneCell Fax:

FacilityName: Carroll County Health Department, Bureau of Addiction Treatment Services, Detention Center Services


Phone: (410) 386-2885 Fax: (410) 386-2933




License:

2338

Contacts:



904137 10/14/2010 10/14/2012General 1/25/2011




Emergency Contact: Kevin Amado

(410) 876-4800 410-984-0607 (410) 876-4832


Owner: Ms. Susan Doyle

(410) 876-4800 (410) 876-4832


Program Director: Ms. Susan Doyle

(410) 876-4800 (410) 876-4832


Sponsor: Ms. Susan Doyle

(410) 876-4800 (410) 876-4832


FacilityName: Carroll County Youth Service Bureau: Court Street Services


Phone: (410) 848-2500 Fax: (410) 876-3016




License:

2814

Contacts:

Adolescent Program






904433 2/13/2012 2/13/2014General 2/22/2012





Emergency Contact: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


Owner: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


Program Director: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


Sponsor: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


FacilityName: Carroll County Youth Services Bureau: Court Street Services

Address: 59 Kate Wagner Rd. Westminister MD 21157

Phone: (410) 848-2500 Fax: (410) 876-5187




License:

2922

Contacts:

Adolescent Program







904504 3/14/2012 9/14/2012Initial 4/19/2012





904755 8/21/2012 8/21/2014General 8/29/2012





Emergency Contact: Joyce Agatone

410-848-2500 410-707-0902 410-876-3016


Owner: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


Program Director: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


Sponsor: Lynn Davis

410-848-6100 410-715-9516410-707-0902 410-876-3016


FacilityName: Carroll Hospital Center

Address: 200 Memorial Ave. Westminster MD 21157

Phone: (410) 871-6964 Fax: (410) 840-6808




License:

670

Contacts:

Adolescent Program




903238 1/24/2007 1/24/2009General 4/18/2007




904869 1/17/2013 1/17/2015General 1/29/2013




Emergency Contact: Ms.. Linda Carey

(410) 871-6964 (410) 871-6808


Medical Director: Dennis Kutzer, MD

(410) 871-7110 (410) 871-6808


Owner: Ms.. Linda Carey

(410) 871-6964 (410) 871-6808


Program Director: Ms.. Linda Carey

(410) 871-6964 (410) 871-6808


SAMIS Liaison: Ms. Mary Lou Myers, MS, LCADC

(410) 871-6964 (410) 871-6983 (410) 871-6808

[email protected]


Sponsor: Ms.. Linda Carey

(410) 871-6964 (410) 871-6808


FacilityName: Catoctin Counseling Centers, Inc.


Phone: (410) 848-9091 Fax: (410) 848-9176




License:

3711

Contacts:





905056 10/1/2013 10/1/2015General 10/2/2013




Emergency Contact: Mr. Larry Stouter

301-745-6687 301-631-1307 301-739-0041


Owner: Mr. Larry Stouter

301-745-6687 301-631-1307 301-739-0041


Program Director: Mr. Larry Stouter

301-745-6687 301-631-1307 301-739-0041


Sponsor: Mr. Larry Stouter

301-745-6687 301-631-1307 301-739-0041



Address: 7533 Main St., Suite 1F Sykesville MD 21784

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

3476

Contacts:





904900 2/28/2013 8/28/2013Initial 3/26/2013



905019 8/27/2013 8/27/2015General 9/3/2013




410-750-8067 443-535-9743240-462-4547 410-750-8068



(410) 740-8066 (410) 740-8068



410-750-8067 443-535-9743240-462-4547 410-750-8068


Program Director: Ms. Gina Rassa

410-750-8067 410-750-8068



410-750-8067 443-535-9743240-462-4547 410-750-8068


FacilityName: Gaudenzia, Inc. Maryland Correctional Facility Residential Substance Abuse Treatment (RSAT)

Address: 7301 Buttercup Rd. Sykesville MD 21784

Phone: (410) 781-4400 Fax: (410) 781-0415




License:

2445

Contacts:



904205 4/11/2011 4/11/2013General 4/26/2011



904933 4/25/2013 4/25/2015General 4/26/2013




(410) 367-5551 (443) 878-4231 (410) 781-0415


Owner: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415



(410) 367-5551 (443) 878-4231 (410) 781-0415


FacilityName: Genesis Treatment Services, LLC

Address: 1106 Business Parkway South, Suite C & D Westminster MD 21157

Phone: (410) 751-7771 Fax: (410) 751-7736




License:

3143

Contacts:




904676 6/20/2012 6/20/2014General 6/27/2012





Emergency Contact: Mr. Page Gross

(410) 653-0021 (410) 499-9838 (410) 653-0070



410-751-7771 410-751-7736



(410) 653-0021 (410) 653-0070



(410) 653-0021 (410) 499-9838 (410) 653-0070



(410) 653-0021 (410) 653-0070


FacilityName: Genesis Treatment Services, LLC

Address: 1106 Business Parkway South, Suite B Westminster MD 21157

Phone: (410) 751-7771 Fax: (410) 751-7736




License:

3856

Contacts:




905151 5/7/2014 11/7/2014Initial 6/9/2014






410-654-5551 (410) 952-0676 410-654-5501

[email protected]



410-751-7771 410-751-7736



(410) 653-0021 (410) 653-0070



(410) 653-0021 (410) 499-9838 (410) 653-0070



(410) 653-0021 (410) 653-0070



Address: 7533 Main St., Suite 1F Sykesville MD 21784

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

3462

Contacts:





904890 2/28/2013 2/28/2015General 3/7/2013





410-750-8067 443-535-9743240-462-4547 410-750-8068



(410) 740-8066 (410) 740-8068



410-750-8067 443-535-9743240-462-4547 410-750-8068


Program Director: Mr. Mark Donavan

410-750-8067 443-535-9743240-462-4547 410-750-8068



410-750-8067 443-535-9743240-462-4547 410-750-8068


FacilityName: Metwork Health Services, Inc.

Address: 2120 Liberty Rd. Eldersburg MD 21784

Phone: (410) 781-4158 Fax: (410) 781-4801




License:

1562

Contacts:






9807 2/26/2004 2/26/2006General 5/10/2005



15858 2/28/2006 2/28/2008General 4/14/2006



903608 4/24/2008 4/24/2010General 6/25/2008



903970 4/13/2010 4/13/2012General 5/13/2010




904654 6/11/2012 6/11/2014General 6/13/2012




Emergency Contact: Ms. Diane Wood

(410) 781-4158 (410) 756-9614(410) 790-2044 (410) 781-4801



410-766-9673



(410) 539-5224 (410) 363-7792



(410) 766-9668 (410) 766-9673



(410) 539-5224 (410) 363-7792



Address: Carroll Plaza Shopping Center, Suite 20C, Route 140 @ Englar Rd. Westminster MD 21157

Phone: (410) 876-2425 Fax: (410) 840-9388




License:

2991

Contacts:

Adolescent Program





904546 5/2/2012 5/2/2014General 5/4/2012






(410) 233-1400


Medical Director: Christian Curly, M.D.

301-447-3369 301-447-2485



410-233-1400 410-233-5583



410-233-1400 443-904-0144 410-665-9316



Address: Carroll Plaza Suite 2 Westminster MD 21157

Phone: (410) 876-2425 Fax: (410) 840-9388




License:

110

Contacts:

11699 9/6/2004 9/6/2006General 5/10/2005




FacilityName: North Carroll Addictions Recovery Program (NCARP)

Address: 1011 S. Main St. Hampstead MD 21074

Phone: (443) 293-2665 Fax: (410) 552-9881




License:

3062

Contacts:






904606 5/15/2012 5/15/2014General 5/17/2012




Emergency Contact: Mr. Richard Salkin

443-293-2665 410-374-3235 410-552-9881


Owner: Ms. Michelle Norris, LCPC

(410) 596-5699 (410) 552-9881


Program Director: Ms. Andrea Maurer, LCSW-C

(410) 552-9007 (240) 285-5792 (240) 285-5792


Sponsor: Ms. Michelle Norris, LCPC

(410) 596-5699 (410) 552-9881


FacilityName: Re-Entry Mental Health & Substance Abuse

Address: 40 S. Church St. Suite 105 Westminster MD 21157

Phone: (410) 848-9244 Fax: (410) 876-5042




License:

1333

Contacts:




DWI Education

903479 11/15/2007 11/15/2009General 12/17/2007




904316 10/14/2011 10/14/2013General 10/18/2011




Emergency Contact: Jeffrey Miller

410-530-2282


Medical Director: Sherrill Cheeks, M.D. Phone Alt. PhoneCell Fax:

Owner: Anthony Swetz, Ph.D., PA Phone Alt. PhoneCell Fax:

Program Director: Jeffrey Miller

410-530-2282


FacilityName: Shoemaker Center

Address: 6655 Sykesville Rd. Sykesville MD 21784

Phone: (410) 876-1989 Fax: (410) 876-1690




License:

2985

Contacts:




904543 5/2/2012 5/2/2014General 5/4/2012







905021 8/29/2013 2/28/2014Initial 9/3/2013



Emergency Contact: Meghan Westwood, LCSW-C

301-762-5613 240-409-1417 301-762-3451

[email protected]


Medical Director: Herbert Henderson, M.D.

410-876-1989 410-876-1690


Owner: Maryland Treatment Center, Inc

410-233-1400 410-233-1666


Program Director: Donald McNamee, LPCP-LCAD

(410) 876-1990 (240) 439-0956 (410) 876-1690

[email protected]


FacilityName: The Next Step Counseling Center

Address: 7295 Buttercup Rd. Sykesville MD 21784

Phone: (410) 795-5767 Fax: (410) 795-6770




License:

3821

Contacts:




905130 2/19/2014 8/19/2014Initial 2/26/2014





Emergency Contact: Tracy Vickers, LCPC, CPC-AD

410-795-5767 443-928-7622703-350-8366 410-795-6770

[email protected]


Owner: Tracy Vickers, LCPC, CPC-AD

410-795-5767 443-928-7622703-350-8366 410-795-6770


Program Director: Tracy Vickers, LCPC, CPC-AD

410-795-5767 443-928-7622703-350-8366 410-795-6770

[email protected]


Sponsor: Tracy Vickers, LCPC, CPC-AD

410-795-5767 443-928-7622703-350-8366 410-795-6770


FacilityName: Westminster Recovery Center, LLC


Phone: (410) 857-8448 Fax: (410) 857-0239




License:

3314

Contacts:




904785 10/1/2012 10/1/2014General 10/10/2012





Emergency Contact: Christopher Bartosik

410-325-0988 410-857-8448


Owner: Thomas Manus, MLA, LDADC-CCDC

(410) 857-8448 (410) 840-3666 (410) 857-0239


Program Director: Thomas Manus, MLA, LDADC-CCDC

(410) 857-8448 (410) 840-3666 (410) 857-0239

[email protected]


Sponsor: Thomas Manus, MLA, LDADC-CCDC

(410) 857-8448 (410) 840-3666 (410) 857-0239


Cecil County

FacilityName: Cecil County Health Department- Alcohol & Drug Recovery Center

Address: 500 Landing Ln Elkton MD 21921

Phone: (410) 996-5106 Fax: (410) 996-5707




License:

3219

Contacts:






Deaf Services

904722 7/17/2012 7/17/2014General 7/20/2012



Emergency Contact: Michael Massuli

(302) 387-1380 (302) 312-3128(443) 553-3212 (410) 996-5707


Medical Director: Henry Taylor, M.D., M.P.H., C.P.H

(410) 996-5106 (410) 996-5707


Owner: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


Program Director: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


Sponsor: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


FacilityName: Cecil County Health Department, Alcohol and Drug Recovery Center

Address: 401 Bow St. Elkton MD 21921

Phone: (410) 996-5106 Fax: (410) 996-5707




License:

1332

Contacts:

Adolescent Program








Deaf Services

903154 5/25/2006 5/25/2008General 11/1/2006




903478 12/12/2007 6/12/2008Initial 12/17/2007



903949 4/28/2010 4/28/2012General 4/28/2010





904723 7/17/2012 7/17/2014General 7/20/2012





Emergency Contact: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


Medical Director: John LaFerla, MD, MPH

410-819-5659 410-819-4703


Owner: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


Program Director: Mr. Kenneth Collins

(410) 996-5550 (410) 996-5707


FacilityName: Elkton Treatment Center

Address: 212 Blue Ball Ave. Elkton MD 21921

Phone: (410) 620-6077 Fax: (410) 620-6081



License:

1711

Contacts:



903698 3/9/2009 3/9/2011General 3/18/2009








OMT.D -- Detox 50 -

903833 11/20/2009 5/20/2010Initial 12/1/2009







OMT.D -- Detox 50 -

904957 4/26/2013 4/26/2015General 5/30/2013








Emergency Contact: Melissa Maitre

410-620-6077 410-620-6081302-530-9564 410-620-6081



(410) 646-6960


Owner: Mr. Joe Procopio

855-259-2288 570-538-2567 760-918-8712


Program Director: Melissa Maitre

410-620-6077 410-620-6081302-530-9564 410-620-6081


Sponsor: Mr. Joe Procopio

855-259-2288 570-538-2567 760-918-8712


Service(s) Provided: DWI Education

FacilityName: Family Services Association

Address: 718 Bridge St. Elkton MD 21921

Phone: (410) 398-4060 Fax:




License:

79

Contacts:

12880 2/16/2005 2/16/2007General



FacilityName: Family Services Association,Inc.


Phone: (410) 398-4060 Fax: (410) 398-8893




License:

841

Contacts:


903244 3/14/2007 3/14/2009General 5/1/2007



903457 11/28/2007 5/28/2008Initial 11/29/2007



Emergency Contact: Mr. William Difabio

610-363-1488


Medical Director: Alforin Banjoko, MD

410-398-4060


Owner: Mr. Howard Isenburg

410-398-4060 410-398-4060


Program Director: Mr. Howard Isenburg

410-398-4060 410-398-4060


Sponsor: Mr. Howard Isenburg

410-398-4060 410-398-4060


FacilityName: Haven House, Inc.

Address: 1195 Augustine Herman Highway Elkton MD 21921

Phone: (410) 398-9900 Fax: (410) 398-4881




License:

3047

Contacts:





904597 5/11/2012 5/11/2014General 5/16/2012





904993 8/7/2013 2/7/2014Initial 8/9/2013



Emergency Contact: Mr. John Foreaker

410-398-9900 443-553-0830 410-398-4881


Owner: Mr. John Foreaker

410-398-9900 443-553-0830 410-398-4881


Program Director: Mr. John Foreaker

410-398-9900 443-553-0830 410-398-4881


Sponsor: Mr. John Foreaker

410-398-9900 443-553-0830 410-398-4881


FacilityName: Open Door, Inc.


Phone: (410) 398-4060 Fax: (410) 398-8893




License:

3851

Contacts:

Adolescent Program





905148 5/14/2014 11/14/2014Initial 5/22/2014






Emergency Contact: Diane Carter

410-398-4060 410-441-0997 410-398-8893


Owner: Howard Isenberg, M.A.

302-731-1504 302-731-2720


Program Director: Howard Isenberg, M.A.

302-731-1504 302-731-2720


Sponsor: Howard Isenberg, M.A.

302-731-1504 302-731-2720


FacilityName: Serenity Health

Address: 203 W. Pulaski Highway Elkton MD 21921

Phone: (410) 273-1030 Fax: (410) 273-1040




License:

3066

Contacts:





904609 5/16/2012 11/16/2012Initial 5/21/2012







904829 11/9/2012 11/9/2014General 11/13/2012







Emergency Contact: Ms. Nancy Turner, R.N.

410-273-9700 443-504-8018 410-273-9713


Medical Director: Mr. Karl Spector

410-273-9700 410-273-9713


Owner: Todd Turner

410-734-7533 410-688-0835


Program Director: Ms. Nancy Turner, R.N.

410-273-9700 443-504-8018 410-273-9713


Sponsor: Todd Turner

410-734-7533 410-688-0835


Charles County


Address: 3475 Leonardtown Rd., #102 Waldorf MD 20601

Phone: (301) 932-9720 Fax: (301) 932-9343




License:

3807

Contacts:






905122 1/15/2014 1/15/2016General 1/23/2014







(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637


FacilityName: Changing Cycles, LLC

Address: 3475 Leonardtown Rd., Suite 206 Waldorf MD 20601

Phone: (301) 357-6605 Fax: (301) 952-9287




License:

3339

Contacts:






904800 10/15/2012 4/15/2013Initial 10/22/2012




904943 5/3/2013 5/3/2015General 5/8/2013




Emergency Contact: Dr. Keyona Thomas-Kelly

301-357-6605 301-420-3791301-437-5128 301-952-9287


Medical Director: Dr. Keyona Thomas-Kelly

301-357-6605 301-420-3791301-437-5128 301-952-9287


Owner: Dr. Keyona Thomas-Kelly

301-357-6605 301-420-3791301-437-5128 301-952-9287


Program Director: Arlette Tongue

301-357-6605 301-952-9287


Sponsor: Dr. Keyona Thomas-Kelly

301-357-6605 301-420-3791301-437-5128 301-952-9287


FacilityName: Charles County Department of Health Substance Abuse Treatment and Prevention Services

Address: 6905 Crain Highway La Plata MD 20646

Phone: (301) 609-5925 Fax: (301) 609-5908




License:

1449

Contacts:




903550 2/28/2008 2/28/2010General 3/18/2008




904541 5/2/2012 5/2/2014General 5/4/2012




Emergency Contact: Sara Haina [email protected] Alt. PhoneCell Fax:

Medical Director: Dr. C. Devadson

301-609-6602 301-934-0848


Owner: Sara Haina [email protected] Alt. PhoneCell Fax:

Program Director: Sara Haina [email protected] Alt. PhoneCell Fax:

FacilityName: Charles County Department of Health Treatment and Prevention Services

Address: 4545 Crain Highway White Plains MD 20695

Phone: (301) 609-6616 Fax: (301) 934-1234




License:

1451

Contacts:

Adolescent Program





903551 2/28/2008 2/28/2010General 3/18/2008




904542 5/2/2012 5/2/2014General 5/4/2012





Emergency Contact: Sara Haina [email protected] Alt. PhoneCell Fax:

Medical Director: Dr. C. Devadason

301-609-6602 301-934-0848


Owner: Sara Haina [email protected] Alt. PhoneCell Fax:

Program Director: Sara Haina [email protected] Alt. PhoneCell Fax:

FacilityName: Insight Treatment Centers

Address: 85 High St., Suite 1 Waldorf MD 20602

Phone: (301) 423-0967 Fax: (304) 423-2750




License:

2643

Contacts:






904326 10/24/2011 4/24/2012Initial 10/26/2011





904501 4/17/2012 4/17/2014General 4/18/2012





Emergency Contact: Ms. Betty Caldwell

301-423-0967 202-436-0669 301-423-2750


Owner: Ms. Patricia Harris

(301) 980-8984 (301) 423-2750


Program Director: Ms. Patricia Harris

(301) 980-8984 (301) 423-2750


Sponsor: Ms. Patricia Harris

(301) 980-8984 (301) 423-2750


FacilityName: Open ARMMS, Inc.

Address: 2590 Business Park Court Waldorf MD 20601

Phone: (301) 645-5538 Fax: (301) 645-5539




License:

686

Contacts:






903136 5/4/2006 5/4/2008General 10/11/2006



903633 6/25/2008 6/25/2010General 7/22/2008



904069 9/22/2010 9/22/2012General 9/27/2010




904776 9/19/2012 9/19/2014General 9/25/2012




Emergency Contact: Mr. Neal Berch

(301) 645-5538



301-645-5538 301-645-5539


Owner: Mr. Neal Berch

(301) 645-5538



(301) 645-5538


SAMIS Liaison: Ms. Terri Salley

(301) 645-5538 (301) 645-5539



(301) 645-5538


FacilityName: The Jude House, Inc.

Address: 9505 Crain Highway Bel Alton MD 20611

Phone: (301) 932-0700 Fax: (301) 609-9236




License:

3284

Contacts:




904766 9/14/2012 9/14/2014General 9/18/2012






Emergency Contact: Mr. Dennis LoganPhone Alt. PhoneCell Fax:

Owner: Mr. Dennis LoganPhone Alt. PhoneCell Fax:

Program Director: Mr. Dennis LoganPhone Alt. PhoneCell Fax:

FacilityName: Walden Behavioral Health

Address: 85 High St., Suite 4 Waldorf MD 20602

Phone: (301) 997-1300 Fax: (301) 997-1321




License:

2390

Contacts:




904173 3/1/2011 9/1/2011Initial 3/22/2011





904322 10/24/2011 10/24/2013General 10/26/2011





904528 5/1/2012 5/1/2014General 5/2/2012





Emergency Contact: Kathleen O'Brien, Ph.D.

(301) 997-1300 (301) 997-1321


Owner: Kathleen O'Brien, Ph.D.

(301) 997-1300 (301) 997-1321


Program Director: Kathleen O'Brien, Ph.D.

(301) 997-1300 (301) 997-1321


Sponsor: Kathleen O'Brien, Ph.D.

(301) 997-1300 (301) 997-1321


FacilityName: Washington Pastoral Counseling Services-Substance Abuse Services

Address: 3235 Leonardtown Rd. Waldorf MD 20602

Phone: (240) 210-6073 Fax: (301) 645-2585




License:

1656

Contacts:






DWI Education

903662 9/3/2008 3/3/2009Initial 10/16/2008




904848 11/19/2012 11/19/2014General 11/29/2012




DWI Program Director: Ms. Tonyia JohnsonPhone Alt. PhoneCell Fax:

Emergency Contact: Ms. Tonyia JohnsonPhone Alt. PhoneCell Fax:

Owner: L. O'Hara, Jr.

301-680-0840 301-680-8956


Program Director: Ms. Tonyia JohnsonPhone Alt. PhoneCell Fax:

Dorchester County

FacilityName: Community Behavioral Health, L.L.C

Address: 426 Dorchester Ave. Cambridge MD 21613

Phone: (410) 228-3929 Fax: (410) 228-3810




License:

3694

Contacts:





Deaf Services

905046 9/13/2013 3/13/2014Initial 9/12/2013




Emergency Contact: Tina Carter, LCPC

410-334-6687 443-880-0485443-994-1930 410-334-6700


Medical Director: Sushma Jani, MD

(410) 677-0202 (410) 677-0303


Owner: Niranjan Jani, M.D.

410-334-6687 410-334-6700


Program Director: Tina Carter, LCPC

410-334-6687 443-880-0485443-994-1930 410-334-6700


Sponsor: Niranjan Jani, M.D.

410-334-6687 410-334-6700


FacilityName: Crest Therapeutic Community

Address: 3959 Baker Rd. East New Market MD 21631

Phone: (800) 344-6423 Fax: (410) 943-3976




License:

3131

Contacts:



904669 6/30/2014 8/31/2014General 6/27/2012



Emergency Contact: Phyliss Johnson

800-344-6423 410-943-1064443-521-9976 410-943-3976


Medical Director: Efigenio Bautista

800-344-6423 410-943-0667


Owner: Lloyd Fuhrman

800-344-6423 410-943-3976


Program Director: Josh Webster

(800) 344-6423 (410) 943-3976


FacilityName: Delmarva Family Resources

Address: 828 Airpax Rd., Suite 300 B Cambridge MD 21613

Phone: (410) 228-3929 Fax: (410) 228-3810




License:

2505

Contacts:






904240 5/21/2011 5/21/2013General 6/22/2011




Emergency Contact: Frank Foxwell

410-228-3929 410 228-3052443 521-7815 410-228-3810


Medical Director: Daniel Smithpeter, MD

410-228-3929 410-228-3810

dfregueaston.comPhone Alt. PhoneCell Fax:

Owner: Daniel Smithpeter, MD

410-228-3929 410-228-3810


Program Director: Ms. Tyantha Randall

410 228-3929 410 228-3810


Sponsor: Daniel Smithpeter, MD

410-228-3929 410-228-3810


FacilityName: Delmarva Family Resources S/A at Cambridge

Address: 828 Airpax Rd. Bldg B, Suite 300 Cambridge MD 21613

Phone: (410) 228-3929 Fax: (410) 228-3810




License:

281

Contacts:

13651 5/2/2005 5/2/2007General 6/14/2005




FacilityName: Dorchester County Addictions Program

Address: 310 Gay St., Lower Level Cambridge MD 21613

Phone: (410) 228-7714 Fax: (410) 228-8049




License:

3089

Contacts:

Adolescent Program






904628 5/22/2012 5/22/2014General 5/29/2012




904629 5/22/2012 11/22/2012Initial 5/29/2012



Emergency Contact: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Owner: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Program Director: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Sponsor: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


FacilityName: Dorchester County Addictions Program

Address: 310 Gay St. Cambridge MD 21613

Phone: (410) 228-7714 Fax: (410) 228-8049




License:

3396

Contacts:




904841 11/15/2012 11/15/2014General 11/29/2012



Emergency Contact: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Owner: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Program Director: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


Sponsor: John Winslow

410-228-7714 443-944-8879443-521-7379 410-228-8049


FacilityName: Dorchester County DART Program

Address: 829 Fieldcrest Rd. Cambridge MD 21613

Phone: (410) 228-7714 Fax: (410) 228-8049




License:

3092

Contacts:



904630 5/22/2012 11/22/2012Initial 5/29/2012



Emergency Contact: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


Owner: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


Program Director: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


Sponsor: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


FacilityName: Dorchester Detention Center

Address: 829 Fieldcrest Rd. Cambridge MD 21613

Phone: (410) 228-8101 Fax: (410) 228-8049




License:

620

Contacts:


7081 3/19/2003 3/19/2005General



13091 3/11/2005 3/11/2007General 5/25/2005



903456 3/11/2007 3/11/2009General 11/29/2007



Emergency Contact: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


Medical Director: James McAnulty, M.D.

410-228-3223 410-901-8194


Owner: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


Program Director: Mr. John Winslow

(410) 228-7714 x106 (443) 521-7379 (410) 228-8049


FacilityName: J. David Collins and Associates, LLC

Address: 828 Airpax Rd., Building B, Suite 300 Cambridge MD 21804

Phone: (410) 901-1333 Fax: (410) 901-1366




License:

3641

Contacts:






905014 8/6/2013 2/6/2014Initial 8/22/2013





905141 3/31/2014 3/31/2016General 4/2/2014





Emergency Contact: Jack Powell, LCSW-C, LCADC

410-548-3333 410-443-6718 410-548-3341

[email protected]


Owner: J. Collins

410-548-3333 410-548-3341


Program Director: Jack Paul

410-548-3333 410-548-3341


Sponsor: J. Collins

410-548-3333 410-548-3341


FacilityName: VisionQuest Morningstar Youth Academy

Address: 1441 Taylors Island Rd. Woolford MD 21677

Phone: (410) 901-2800 Fax: (410) 901-8328




License:

3660

Contacts:

Adolescent Program



905027 8/28/2013 8/28/2015General 9/3/2013




Emergency Contact: Gerard Fox

410-901-2800 717-387-1611 410-901-8328


Medical Director: Dr. Jonathan MossPhone Alt. PhoneCell Fax:

Owner: Gerard Fox

410-901-2800 717-387-1611 410-901-8328


Program Director: Gerard Fox

410-901-2800 717-387-1611 410-901-8328


FacilityName: Warwick Manor Behavioral Health, Inc.

Address: 3680 Warwick Rd. East New Market MD 21631

Phone: (800) 344-6423 Fax: (410) 943-3976



License:

1566

Contacts:





10413 4/1/2004 4/1/2006General 5/30/2005




16294 4/28/2006 4/28/2008General 6/7/2006




903610 6/23/2008 6/23/2010General 6/26/2008





904041 8/5/2010 8/5/2012General 8/16/2010






904668 6/30/2014 8/31/2014General 6/27/2012








800-344-6423 410-943-1064443-521-9976 410-943-3976



800-344-6423 410-943-0667


Owner: Cornelius Edwards

800-344-6423 410-943-3976


Program Director: Cornelious Edwards

800-344-6423 410-943-3976


Service(s) Provided: Spanish Speaking Services

Frederick County


Address: 1000 N. Market St. Frederick MD 21701

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2541

Contacts:

Adolescent Program




904262 6/30/2011 12/30/2011Initial 7/12/2011



904473 3/30/2012 3/30/2014General 4/2/2012






(410) 481-0770 (410) 312-9273



FacilityName: Allied Counseling Group

Address: 306 W. Patrick St. Frederick MD 21701

Phone: (301) 698-7077 Fax: (301) 698-5671




License:

2396

Contacts:

Adolescent Program





903126 2/21/2006 2/21/2008General 9/27/2006



904188 4/4/2011 4/4/2013General 4/11/2011



Emergency Contact: Ms. Kristin Milne-Glasser, LCADC,SAP

(301) 698-7077 (301) 698-4849(301) 748-4962 (301) 698-5671

[email protected]


Owner: Ms. Kristin Milne-Glasser, LCADC,SAP

(301) 698-7077 (301) 698-4849(301) 748-4962 (301) 698-5671


Program Director: Ms. Kristin Milne-Glasser, LCADC,SAP

(301) 698-7077 (301) 698-4849(301) 748-4962 (301) 698-5671

[email protected]


FacilityName: Catoctin Counseling Centers

Address: 112 E. Main St. Thurmont MD 21788

Phone: (301) 271-4870 Fax: (301) 739-0041




License:

2635

Contacts:




904320 9/12/2011 9/12/2013General 10/26/2011




905055 10/1/2013 10/1/2015General 10/2/2013





301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041



Address: 309 E. Patrick St. Frederick MD 21701

Phone: (301) 631-1304 Fax: (301) 739-0041




License:

2637

Contacts:



904321 9/12/2011 9/12/2013General 10/26/2011




905058 10/1/2013 10/1/2015General 10/2/2013





301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041



301-745-6687 301-631-1307 301-739-0041


FacilityName: Crossroads Center of Frederick, LLC.

Address: 203 Broadway St. Frederick MD 21701

Phone: (301) 696-1950 Fax: (301) 698-2661




License:

2774

Contacts:




904408 12/9/2011 12/9/2013General 1/10/2012




904409 12/9/2011 6/9/2012Initial 1/10/2012



Emergency Contact: Ms. Jill Maynes

301-696-1950 443-929-0376 301-698-2661


Medical Director: Lawrence Hyman

301-696-1950


Owner: Mr. Christopher Luecking

301-696-1950 410-746-2042 301-698-2661


Program Director: Ms. Jill Maynes

301-696-1950 443-929-0376 301-698-2661


Sponsor: Mr. Christopher Luecking

301-696-1950 410-746-2042 301-698-2661


FacilityName: Crossroads Center of Frederick, LLC.

Address: 511 W. S. St. Frederick MD 21701

Phone: (301) 696-1950 Fax: (301) 698-2661




License:

3613

Contacts:

Adolescent Program




904992 8/7/2013 8/7/2015General 8/9/2013





Emergency Contact: Ms. Jill Maynes

301-696-1950 443-929-0376 301-698-2661


Medical Director: Lawrence Hyman

301-696-1950


Owner: Mr. Christopher Luecking

301-696-1950 410-746-2042 301-698-2661


Program Director: Ms. Jill Maynes

301-696-1950 443-929-0376 301-698-2661


Sponsor: Mr. Christopher Luecking

301-696-1950 410-746-2042 301-698-2661


FacilityName: Crossroads Centers - Frederick

Address: 203 Broadway St. Suite A Frederick MD 21701

Phone: (301) 696-1950 Fax: (301) 698-2661




License:

892

Contacts:

Adolescent Program

DWI Education

903052 7/18/2006 7/18/2008General 8/14/2006





DWI Program Director: Ms. Barbara McMonigle

(301) 696-1950


Emergency Contact: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


Owner: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


Program Director: Ms. Barbara McMonigle

(301) 696-1950


SAMIS Liaison: MS. Tanya Craven

(301) 696-1950


Sponsor: Ms. Barbara Bluestone

410-752-6505 410-724-6274 410-385-1237


FacilityName: Frederick County Health Department Adolescent Outpatient Services

Address: 350 Montevue Ln Frederick MD 21702

Phone: (301) 600-3293 Fax: (301) 600-3298




License:

2862

Contacts:

Adolescent Program








Deaf Services

904462 2/12/2012 2/12/2014General 3/26/2012





Emergency Contact: Martin Brown

301-600-3203 301-824-6160301-730-0474 301-600-1781


Owner: Ms. Barbara Brookmyer

(301) 694-1029 (301) 228-9319


Program Director: Ms. Barbara Brookmyer

(301) 694-1029 (301) 228-9319


Sponsor: Ms. Barbara Brookmyer

(301) 694-1029 (301) 228-9319


FacilityName: Frederick County Health Department Adult Outpatient Services

Address: 300 B Scholl's Ln Frederick MD 21701

Phone: (301) 600-1775 Fax: (301) 600-1781




License:

2864

Contacts:








Deaf Services

904463 2/21/2012 2/21/2014General 3/27/2012








301-600-3203 301-824-6160301-730-0474 301-600-1781


Medical Director: Richard Haber, M.D.

301-600-3442 301-600-1781



(301) 694-1029 (301) 228-9319


Program Director: Angela Hipsley

301-600-1775 301-600-1781



(301) 694-1029 (301) 228-9319


FacilityName: Frederick County Health Department Detention Center Services

Address: 7300 Marcie's Choice Ln Frederick MD 21703

Phone: (301) 600-3145 Fax: (301) 600-3144




License:

1035

Contacts:





903318 6/19/2007 6/19/2009General 7/24/2007



903740 6/2/2009 12/2/2009Provisional 6/17/2009




903757 6/2/2009 12/2/2009Initial 8/7/2009





903828 10/9/2009 10/9/2011General 11/24/2009




904470 2/21/2012 2/21/2014General 4/2/2012





301-600-3203 301-824-6160301-730-0474 301-600-1781


Medical Director: Richard Haber, M.D.

301-600-3442 301-600-1781



(301) 694-1029 (301) 228-9319


Program Director: Ms. Barbara Brookmyer

(301) 694-1029 (301) 228-9319



(301) 694-1029 (301) 228-9319


FacilityName: Frederick Institute

Address: 5716-C Industry Ln Frederick MD 21704

Phone: (301) 663-4130 Fax: (301) 663-4169




License:

409

Contacts:


6688 1/27/2003 1/27/2005General



13388 4/25/2005 4/25/2007General 5/25/2005



903330 4/26/2007 4/26/2009General 7/31/2007



903854 12/4/2009 12/4/2011General 12/4/2009



904635 5/18/2012 5/18/2014General 5/29/2012




Emergency Contact: Mr. Walter Smith

3016634130 3014678338 3016634169



301-645-5538 301-645-5539


Owner: Mr. Walter Smith

3016634130 3014678338 3016634169



(301) 645-5538



(301) 645-5538


FacilityName: Gale House


Phone: (301) 662-2303 Fax: (301) 694-8527




License:

684

Contacts:



903227 2/27/2007 2/27/2009General 3/29/2007



904238 6/13/2011 6/13/2013General 6/20/2011



904962 6/7/2013 6/7/2015General 6/12/2013



Emergency Contact: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Owner: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Program Director: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Sponsor: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


FacilityName: Gale House


Phone: (301) 662-2303 Fax: (301) 694-8527




License:

1169

Contacts:



903383 2/27/2007 2/27/2009General 9/26/2007



Emergency Contact: Ms. Iris Lehman

(301) 662-7003 (301) 631-0768


Owner: Ms. Iris Lehman

(301) 662-7003 (301) 631-0768


Program Director: Ms. Iris Lehman

(301) 662-7003 (301) 631-0768


SAMIS Liaison: Ms. Nancy FairfaxPhone Alt. PhoneCell Fax:

FacilityName: Maryland Counseling Centers, Inc.


Phone: (301) 424-6955 Fax: (301) 424-4836




License:

3502

Contacts:




904917 4/1/2013 4/1/2015General 4/2/2013




Emergency Contact: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261


Owner: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261


Program Director: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261



Address: 9701 Keysville Rd., P.O. Box 136 Emmitsburg MD 21727

Phone: (301) 447-2361 Fax: (301) 447-3673




License:

3363

Contacts:


904816 10/25/2012 10/25/2014General 11/8/2012







Emergency Contact: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


Owner: Nicole Gately

301-447-2361 301-447-3673


Program Director: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


FacilityName: Mountain Manor Treatment Center Adult Outpatient Services

Address: 603 A W. Patrick St. Frederick MD 21701

Phone: (301) 662-1407 Fax: (301) 662-6989




License:

2989

Contacts:





904545 5/2/2012 5/2/2014General 5/4/2012






(410) 233-1400


Medical Director: Christine Curly

301-447-3369 30-447-2485



410-233-1400 410-233-5583



410-233-1400 443-904-0144 410-665-9316


FacilityName: MRB Counseling Services, Inc.

Address: 5 Hillcrest Dr., Office B-200 Frederick MD 21703

Phone: (240) 566-5656 Fax: (301) 378-2930




License:

1767

Contacts:

Adolescent Program





903732 4/13/2009 10/13/2009Provisional 6/17/2009




904537 4/27/2012 4/27/2014General 5/2/2012




Emergency Contact: Maria Bustos, Ph.D.

301-527-0854 301-512-0663 240-243-1061


Medical Director: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Medical Director: Maria Bustos, Ph.D.

301-527-0854 301-512-0663 240-243-1061


Owner: Maria Bustos, Ph.D.

301-527-0854 301-512-0663 240-243-1061


Program Director: Maria Bustos, Ph.D.

301-527-0854 301-512-0663 240-243-1061


Sponsor: Maria Bustos, Ph.D.

301-527-0854 301-512-0663 240-243-1061


FacilityName: Olson House

Address: 608 E. Patrick St. Frederick MD 21701

Phone: (301) 662-7003 Fax: (301) 631-0768




License:

706

Contacts:



903223 2/27/2007 2/27/2009General 3/29/2007



904237 6/13/2011 6/13/2013General 6/20/2011



904961 6/7/2013 6/7/2015General 6/12/2013



Emergency Contact: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Owner: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Program Director: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


Sponsor: Ms. Marte Birnbaum

301-662-7003 301-432-2918703-887-2349 (301) 631-0768


FacilityName: Safe Harbor and New Horizon at Mountain Manor

Address: 9701 Keysville Rd., P.O. Box 136 Emmitsburg MD 21727

Phone: (301) 447-2361 Fax: (301) 447-3673




License:

1916

Contacts:






903829 11/23/2009 11/23/2011General 12/1/2009




904817 10/25/2012 10/25/2014General 11/8/2012




Emergency Contact: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


Medical Director: Christine Curley, M.D., P.C.

301-524-9040 301-447-2485


Owner: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


Program Director: Mr. William Roby

(301) 447-2361 (240) 409-7001 (301) 447-3673


FacilityName: Serenity Treatment Center, Inc.

Address: 420 E. Patrick St., Suite 100 Frederick MD 21701

Phone: (301) 898-2627 Fax: (301) 898-2640




License:

3562

Contacts:

Adolescent Program







904958 5/28/2013 5/28/2015General 5/30/2013




Emergency Contact: Christine Marquardt

(240) 388-7420 (301) 874-2026


Owner: Christine Marquardt

(240) 388-7420 (301) 874-2026


Program Director: Christine Marquardt

(240) 388-7420 (301) 874-2026


Sponsor: Christine Marquardt

(240) 388-7420 (301) 874-2026


FacilityName: Way Station


Phone: (301) 662-0099 Fax: (301) 694-9932




License:

3124

Contacts:




904662 5/31/2012 11/30/2012Initial 6/20/2012



904825 11/9/2012 11/9/2014General 11/13/2012



Emergency Contact: Dana Hackey

301-733-6063 240-422-3556240-409-9339 301-694-9932


Owner: Anna Rea

301-662-0099 301-694-9932


Program Director: Anna Rea

301-662-0099 301-694-9932


Sponsor: Anna Rea

301-662-0099 301-694-9932


FacilityName: Way Station


Phone: (301) 662-0099 Fax: (301) 694-9932




License:

3566

Contacts:




904960 6/6/2013 6/6/2015General 6/12/2013




301-733-6063 240-422-3556240-409-9339 301-694-9932


Owner: Anna Rea

301-662-0099 301-694-9932



301-662-0099 301-694-9932


Sponsor: Anna Rea

301-662-0099 301-694-9932


Garrett County

FacilityName: Family Therapy Services

Address: 25252 Garrett Highway McHenry MD 21541

Phone: (301) 387-7998 Fax: (301) 387-7746




License:

783

Contacts:

903162 10/14/2006 10/14/2008General 12/21/2006



Emergency Contact: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Owner: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Program Director: Mr. Henry BrownPhone Alt. PhoneCell Fax:

Sponsor: Mr. Henry BrownPhone Alt. PhoneCell Fax:

FacilityName: Garrett County Center for Behavioral Health

Address: 28 Hersberger Ln Grantsville MD 21536

Phone: (301) 895-5355 Fax: (301) 334-7671




License:

600

Contacts:

Adolescent Program






Deaf Services

10117 1/2/2004 1/2/2006General



16285 1/31/2006 1/31/2008General 7/10/2007



903527 1/30/2008 1/30/2010General 3/3/2008




904845 11/26/2012 11/26/2014General 11/29/2012




Emergency Contact: Thomas Schneider

301-334-7682 301-334-7681


Medical Director: Dr. Stewart Callis

301-334-7680 301-334-7681


Owner: Robert Stephens

301-334-7682 301-334-7671


Program Director: Thomas Schneider

301-334-7682 301-334-7681


FacilityName: Garrett County Center for Behavioral Health

Address: 1025 Memorial Dr. Oakland MD 21550

Phone: (301) 334-7670 Fax: (301) 334-7681




License:

1100

Contacts:

Adolescent Program








Deaf Services

10119 1/2/2004 1/2/2006General



904847 11/26/2012 11/26/2014General 11/29/2012





Emergency Contact: T. Schneider

301-334-7682 301-387-9470301-616-0105 301-334-7671


Owner: T. Schneider

301-334-7682 301-387-9470301-616-0105 301-334-7671


Program Director: T. Schneider

301-334-7682 301-387-9470301-616-0105 301-334-7671


FacilityName: Garrett County Jail Substance Abuse Program

Address: 311 E. Alder St. Oakland MD 21550

Phone: (301) 334-7670 Fax: (301) 334-7671




License:

1412

Contacts:








Deaf Services

903528 1/30/2008 1/30/2010General 3/3/2008



904846 11/26/2012 11/26/2014General 11/29/2012



Emergency Contact: Thomas Schneider

301-334-7682 301-334-7681


Medical Director: Dr. Stewart Callis

301-334-7680 301-334-7681


Owner: Robert Stephens

301-334-7682 301-334-7671


Program Director: Thomas Schneider

301-334-7682 301-334-7681


FacilityName: Maryland Department of Juvenile Services Backbone Mountain Youth Center Treatment Program

Address: 124 Camp 4 Rd. Swanton MD 21562

Phone: (301) 359-8916 Fax: (301) 359-0811




License:

2947

Contacts:

Adolescent Program




Deaf Services

904518 4/24/2012 4/24/2014General 4/25/2012






(301) 722-1640 (301) 268-4431 (301) 895-3664



(301) 777-5600 (301) 777-5674


Owner: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


Program Director: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


Sponsor: Ms. Nancy Schrock

(301) 722-1640 (301) 268-4431 (301) 895-3664


FacilityName: Maryland Department of Juvenile Services Meadow MountainYouth Center Treatment Program

Address: 234 Recovery Rd. Grantsville MD 21536

Phone: (301) 895-5669 Fax: (301) 895-3664




License:

2943

Contacts:

Adolescent Program




Deaf Services

904516 4/24/2012 4/24/2014General 4/25/2012




(301) 722-1640 (301) 268-4431 (301) 895-3664



(301) 777-5600 (301) 777-5674


Owner: Mr. William Pickrel

(301) 895-5669 (301) 895-3664


Program Director: Mr. William Pickrel

(301) 895-5669 (301) 895-3664


Sponsor: Mr. William Pickrel

(301) 895-5669 (301) 895-3664


Harford County


Address: 101 Walter Ward Blvd. Abingdon MD 21009

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2882

Contacts:

Adolescent Program




904267 6/30/2011 12/30/2011Initial 7/12/2011



904475 3/30/2012 3/30/2014General 4/2/2012






(410) 481-0770 (410) 312-9273



FacilityName: ARS of Aberdeen LLC

Address: 24-26 W. Bel Air Ave. Aberdeen MD 21001

Phone: (410) 272-0230 Fax: (484) 731-2500




License:

3849

Contacts:




905147 4/29/2014 10/29/2014Initial 5/21/2014





Emergency Contact: Melissa Bishop

484-731-2522 302-335-3864302-242-4116 484-731-2500



(410) 646-6960


Owner: Melissa Bishop

484-731-2522 302-335-3864302-242-4116 484-731-2500


Program Director: Ms. Gisele Thompson

410-273-9700 410-273-9713


Sponsor: Melissa Bishop

484-731-2522 302-335-3864302-242-4116 484-731-2500


FacilityName: Emmorton Psych

Address: 3105 Emmorton Rd., Suite 2D Abingdon MD 21009

Phone: (410) 569-5900 Fax: (410) 569-7751




License:

3332

Contacts:




904796 10/16/2012 10/16/2014General 10/19/2012



Emergency Contact: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

Medical Director: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

Owner: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

Program Director: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

Sponsor: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

FacilityName: Emmorton Treatment Services

Address: 3105 Emmorton Rd., Suite 2B Abingdon MD 21009

Phone: (410) 569-5900 Fax: (410) 569-7751




License:

1901

Contacts:




903816 10/29/2009 4/29/2010Initial 11/12/2009





903883 12/30/2009 12/30/2011General 12/30/2009





904789 10/3/2012 10/3/2014General 10/10/2012







Sponsor: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:

FacilityName: Emmorton Treatment Services

Address: 3105 Emmorton Rd., Suite 2 Abingdon MD 21009

Phone: (410) 569-5900 Fax: (410) 569-7751




License:

2266

Contacts:




903874 12/17/2009 6/17/2010Initial 12/17/2009





904084 10/5/2010 10/5/2012General 10/8/2010





904795 10/16/2012 10/16/2014General 10/19/2012





Emergency Contact: Stephen Buchness

(410) 569-5900 (410) 937-1555



Medical Director: Dr. Steven ZimmermanPhone Alt. PhoneCell Fax:



FacilityName: Father Martin's Ashley

Address: 800 Tydings Ln Havre de Grace MD 21078

Phone: (410) 273-6600 Fax: (410) 272-5617



License:

1998

Contacts:




7801 5/5/2003 5/5/2005General




13906 6/15/2005 6/15/2007Generalcert. returned 2nd time, Tydings misspelled

7/29/2005




903325 7/3/2007 7/3/2009General 7/31/2007





903904 1/28/2010 1/28/2012General 1/28/2010





904469 3/29/2012 3/29/2014General 4/2/2012





905009 8/15/2013 2/15/2014Initial 8/19/2013



Emergency Contact: Christopher McWhite

410-273-2277 443-760-6660 410-272-5617


Medical Director: Bernadette Solounias, M.D.

4102732241 4102725617


Owner: George Plesniak, CAC-AD

410-273-6600 410-272-5617


Program Director: George Plesniak, CAC-AD

410-273-6600 410-272-5617




Deaf Services

FacilityName: Father Martin's Ashley

Address: 2 S. Rogers St. Aberdeen MD 21001

Phone: (410) 273-6600 Fax: (410) 273-2290




License:

2873

Contacts:




904468 3/29/2012 3/29/2014General 4/2/2012




Emergency Contact: George Gerick

410-273-2264 410-459-4101410-459-4101 410-273-2290


Medical Director: Bernadette Solounias, M.D.

4102732241 4102725617


Owner: Mark Hushen

410-273-6600 410-575-7234410-382-3822 410-272-5617


Program Director: Mark Hushen

410-273-6600 410-575-7234410-382-3822 410-272-5617


FacilityName: Global HealthCare Systems, Inc.

Address: 2203 Philadelphia Rd. Edgewood MD 21040

Phone: (410) 612-0275 Fax: (410) 612-0287




License:

3295

Contacts:




904773 9/10/2012 3/10/2013Initial 9/18/2012





904887 3/4/2013 3/4/2015General 3/5/2013





Emergency Contact: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Owner: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Program Director: Mr. Michael FowowePhone Alt. PhoneCell Fax:

Sponsor: Mr. Michael FowowePhone Alt. PhoneCell Fax:

FacilityName: Harford Counseling, LLC

Address: 1201 Agora Dr., Suite LB-2 Bel Air MD 21014

Phone: (410) 836-7332 Fax: (410) 836-7422




License:

1847

Contacts:

Adolescent Program






903784 9/29/2009 3/29/2010Initial 10/16/2009




903953 4/29/2010 4/29/2012General 4/29/2010




904461 3/21/2012 3/21/2014General 3/26/2012




904799 10/16/2012 10/16/2014General 10/19/2012





Emergency Contact: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422


Medical Director: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422


Owner: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422


Program Director: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422


Sponsor: Jennifer Redding, LCSW-C

410-836-7332 301-219-6177 410-836-7422


FacilityName: Harford County Drug Abuse Program

Address: 39 Churchville Rd. Suite 200 Bel Air MD 21015

Phone: (410) 638-3081 Fax: (410) 420-6580




License:

874

Contacts:


903292 5/30/2007 5/30/2009General 6/21/2007




Emergency Contact: Ms. Diana GivensPhone Alt. PhoneCell Fax:

Owner: Ms. Diana GivensPhone Alt. PhoneCell Fax:

Program Director: Ms. Diana GivensPhone Alt. PhoneCell Fax:

Sponsor: Ms. Diana GivensPhone Alt. PhoneCell Fax:

FacilityName: Harford County Health Department Division of Addiction Services

Address: 120 Hays St., Suite 300 Bel Air MD 21014

Phone: (410) 877-2340 Fax: (410) 638-4954




License:

3393

Contacts:







904839 11/14/2012 11/14/2014General 11/29/2012





Emergency Contact: Beth Jones

410-877-2360 410-638-4954


Owner: Beth Jones

410-877-2360 410-638-4954


Program Director: Beth Jones

410-877-2360 410-638-4954


Sponsor: Beth Jones

410-877-2360 410-638-4954


FacilityName: Harford County Juvenile Drug Court Treatment Program

Address: 5 N. Main St. Bel Air MD 21014

Phone: (410) 420-3222 Fax: (410) 838-1031




License:

3103

Contacts:

Adolescent Program




904636 5/24/2012 5/24/2014General 5/29/2012



Emergency Contact: Mr. David Mitchell

410-420-3222 410-838-1031


Owner: Mr. David Mitchell

410-420-3222 410-838-1031


Program Director: Mr. David Mitchell

410-420-3222 410-838-1031


FacilityName: Homecoming Project, Inc.

Address: 502 S. Tollgate Rd. Bel Air MD 21014

Phone: (410) 399-2904 Fax: (410) 399-2905




License:

2106

Contacts:



903988 6/2/2010 6/2/2012General 6/7/2010



904641 6/1/2012 6/1/2014General 6/8/2012



Emergency Contact: Ms. Robin Keener

(410) 399-2904


Emergency Contact: Ms. Camilla Thomas, CAC

410- 399-2904 410-652-1660410-652-1660 410-399-2905


Owner: Ms. Robin Keener

(410) 399-2904


Program Director: Ms. Robin Keener

(410) 399-2904


Sponsor: Ms. Robin Keener

(410) 399-2904


FacilityName: Joppa Health Services, Inc.

Address: 623-A Pulaski Highway Joppa MD 21085

Phone: (410) 538-5809 Fax: (410) 538-4249




License:

3428

Contacts:




904866 12/14/2012 12/14/2014General 12/19/2012




Emergency Contact: Mr. Dennis Kohajda

(410) 880-1838 (443) 604-8250 (301) 604-9283



410-766-9673



(410) 539-5224 (410) 363-7792


Program Director: Mr. Dennis Kohajda

(410) 880-1838 (443) 604-8250 (301) 604-9283



(410) 539-5224 (410) 363-7792


FacilityName: Mann House, Inc.

Address: 14 Williams St. Bel Air MD 21014

Phone: (410) 879-7619 Fax: (410) 879-2075




License:

704

Contacts:


903216 12/2/2006 12/2/2008General 3/14/2007



903841 11/23/2009 11/23/2011General 12/1/2009



904642 6/1/2012 6/1/2014General 6/8/2012



Emergency Contact: Mr. Michael Kirby

410-905-8609 410-879-2075


Owner: Mr. Michael Kirby

410-905-8609 410-879-2075


Program Director: Mr. Michael Kirby

410-905-8609 410-879-2075


FacilityName: Maryland IOP Partners

Address: 21 W. Courtland St. Bel Air MD 21014

Phone: (877) 762-3766 Fax: (410) 838-3341




License:

3564

Contacts:




904959 5/29/2013 11/29/2013Initial 6/5/2013






905083 11/29/2013 5/29/2014Initial 12/5/2013






Emergency Contact: Dave Gerick

410-273-6600 410-459-4101410-459-4101 410-273-2290


Owner: Dave Gerick

410-273-6600 410-459-4101410-459-4101 410-273-2290


Program Director: Karen Albright, LCSW-C

877-762-3766 410-838-3341


Sponsor: Dave Gerick

410-273-6600 410-459-4101410-459-4101 410-273-2290


FacilityName: MATT Program

Address: 1361- A Brass Mill Rd. Belcamp MD 21017

Phone: (410) 273-9700 Fax: (410) 273-9713




License:

3323

Contacts:






Deaf Services

904790 10/3/2012 10/3/2014General 10/10/2012






Emergency Contact: Linda Smith, LPCP

(410) 273-9700 (443) 655-7164(443) 655-7164 (410) 273-9713


Medical Director: Brian MondellPhone Alt. PhoneCell Fax:

Owner: Frank Baumann

(214) 379-3318 (214) 379-3322


Program Director: Linda Smith, LPCP

(410) 273-9700 (443) 655-7164(443) 655-7164 (410) 273-9713


Sponsor: Linda Smith, LPCP

(410) 273-9700 (443) 655-7164(443) 655-7164 (410) 273-9713


FacilityName: Phoenix Recovery Center

Address: 201 Edgewood Rd. Edgewood MD 21040

Phone: (410) 671-7374 Fax: (410) 679-7757




License:

1130

Contacts:

903363 3/21/2007 3/21/2009General 9/20/2007




904135 1/14/2011 1/14/2013General 1/18/2011




Emergency Contact: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757

[email protected]


Emergency Contact: Mr. Robert Kinneberg

410-671-7374 410-569-2741410-937-7377 410-679-7757


Medical Director: Lee Tannenbaum, MD

410-569-5900 410-569-9429


Owner: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757


Program Director: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757

[email protected]


Sponsor: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757


FacilityName: Phoenix Recovery Center

Address: 107 Edgewood Rd. Edgewood MD 21040

Phone: (410) 671-7374 Fax: (410) 679-7757




License:

3441

Contacts:



904876 1/24/2013 1/24/2015General 2/4/2013




Emergency Contact: Mr. Robert Kinneberg

410-671-7374 410-569-2741410-937-7377 410-679-7757


Medical Director: Lee Tannenbaum, MD

410-569-5900 410-569-9429


Owner: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757


Program Director: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757

[email protected]


Sponsor: Mr. Stephen Dengler, CAC-AD

410-671-7374 410-679-7757


FacilityName: Serenity Health, LLC

Address: 780 W. Bel Air Ave., Suite B Aberdeen MD 21001

Phone: (410) 273-1030 Fax: (410) 273-1040


License:

Contacts:

903721 3/27/2009 9/27/2009Initial 4/13/2009








OMT.D -- Detox 25 -

903787 9/29/2009 9/29/2011General 10/20/2009








OMT.D -- Detox 15 -

904499 4/3/2012 4/3/2014General 4/12/2012








Emergency Contact: Ms. Nancy Turner, R.N.

410-273-9700 443-504-8018 410-273-9713


Medical Director: Mr. Karl Spector

410-273-9700 410-273-9713


Owner: Todd Turner

410-734-7533 410-688-0835


Program Director: Ms. Nancy Turner, R.N.

410-273-9700 443-504-8018 410-273-9713


Sponsor: Todd Turner

410-734-7533 410-688-0835




1748





FacilityName: Together Recovery Works Associates (TRW Associates)

Address: 3913 Pulaski Highway Abingdon MD 21009

Phone: (410) 676-8200 Fax: (410) 538-5170




License:

2771

Contacts:



904406 12/19/2011 12/19/2013General 1/10/2012



904407 12/19/2011 6/19/2012Initial 1/10/2012



Emergency Contact: Mr. Timothy Newnan

410-838-8800


Owner: Mr. Timothy Newnan

410-838-8800


Program Director: Mr. Timothy Newnan

410-838-8800


FacilityName: TRW Associates

Address: 210 N. Tollgate Rd. Bel Air MD 21014

Phone: (410) 838-8800 Fax: (410) 879-9547




License:

3791

Contacts:



905111 12/20/2013 12/20/2015General 12/27/2013




410-838-8800



410-838-8800



410-838-8800


FacilityName: TRW Associates

Address: 200 H N. Philadelphia Blvd. Aberdeen MD 21009

Phone: (410) 273-1680 Fax: (410) 273-1682




License:

3793

Contacts:



905112 12/20/2013 12/20/2015General 12/27/2013




410-838-8800



410-838-8800



410-838-8800



Address: 260 Gateway Dr., Suite 18A Bel Air MD 21014

Phone: (410) 893-3896 Fax: (410) 893-3896




License:

3745

Contacts:




905079 11/22/2013 11/22/2015General 11/22/2013






410-893-3896 1-240-538-1671 410-893-3896



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936



(410) 485-8876 (410) 893-3896(410) 937-4843 (410) 877-2936


Howard County


Address: 6851 Oak Hall Ln, Suite 201 Columbia MD 21045

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2912

Contacts:




904498 3/30/2012 3/30/2014General 4/12/2012






(410) 481-0770 (410) 312-9273



FacilityName: A Better Way Counseling Services

Address: 9017 Red Branch Rd. Suite 204 Columbia MD 21045

Phone: (410) 730-4500 Fax: (410) 730-5119




License:

700

Contacts:

Adolescent Program




DWI Education

903045 6/19/2006 6/19/2008General 8/9/2006



903692 2/18/2009 8/18/2009Initial 2/20/2009



903714 3/21/2009 3/21/2011General 4/2/2009



904832 11/9/2012 11/9/2014General 11/13/2012




Emergency Contact: Ms. Bonnie Goldschmidt [email protected] Alt. PhoneCell Fax:

Owner: Ms. Bonnie Goldschmidt [email protected] Alt. PhoneCell Fax:

Program Director: Ms. Bonnie Goldschmidt [email protected] Alt. PhoneCell Fax:

Sponsor: Ms. Bonnie Goldschmidt [email protected] Alt. PhoneCell Fax:

FacilityName: Columbia Addictions Center

Address: 5570 Sterrett Place Suite 205 Columbia MD 21044

Phone: (410) 730-1333 Fax: (410) 730-1559




License:

679

Contacts:

Adolescent Program






903026 7/11/2006 7/11/2008General 8/3/2006





903715 3/20/2009 3/20/2011General 4/2/2009





904392 12/9/2011 12/9/2013General 12/20/2011





905101 12/9/2013 12/9/2015General 12/5/2013






Emergency Contact: Mr. Michael Green

410-730-1333 443-668-8254 410-730-1559


Owner: Ms. Eileen Dewey

(410) 730-1333 (410) 730-1559


Program Director: Ms. Eileen Dewey

(410) 730-1333 (410) 730-1559


SAMIS Liaison: Ms. Cindy Dagley

(410) 730-1333 (410) 730-1559



Address: 10630 Little Patuxent Parkway, Suite 209 Columbia MD 21044

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

2523

Contacts:

Adolescent Program




904251 6/30/2011 6/30/2013General 7/7/2011



904896 2/28/2013 2/28/2015General 3/7/2013




(410) 740-8066 (240) 462-4547



(410) 740-8066 (410) 740-8068



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547


FacilityName: Counseling Resources Inc.

Address: 8388 Court Ave. Ellicott City MD 21043

Phone: (410) 461-8662 Fax: (410) 461-6020




License:

443

Contacts:

Adolescent Program



DWI Education



11743 9/9/2004 9/9/2006General



903744 6/24/2009 12/24/2009Initial 7/8/2009




904830 11/9/2012 11/9/2014General 11/13/2012




DWI Program Director: Ms. Jeannie PantazesPhone Alt. PhoneCell Fax:

Emergency Contact: Ms. Jeannie PantazesPhone Alt. PhoneCell Fax:

Owner: Ms. Jeannie PantazesPhone Alt. PhoneCell Fax:

Program Director: Ms. Jeannie PantazesPhone Alt. PhoneCell Fax:

FacilityName: Counseling Resources Inc.

Address: 14460 Old Mill Rd. Suite 201 Upper Marlboro MD 20770

Phone: (410) 461-8662 Fax:




License:

442

Contacts:

FacilityName: Halfway Home

Address: 4100 College Ave. Building #8 Ellicott City MD 21043

Phone: (410) 313-1458 Fax: (410) 313-1449




License:

1836

Contacts:



903013 7/1/2006 7/1/2008General 7/17/2006



903777 9/21/2009 9/21/2011General 9/25/2009




410-233-0684x104 609-647-6779 410-233-8540



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Elliott Driscoll

410-233-0684x104 609-647-6779 410-233-8540


Program Director: Elliott Driscoll

410-233-0684x104 609-647-6779 410-233-8540


Sponsor: Mr. Ed Jaffe, CAC-AD

410-313-1458 (410) 215-1348 410-313-1449


FacilityName: Howard County Health Department

Address: 7178 Columbia Gateway Dr. Columbia MD 21046

Phone: (410) 313-6202 Fax: (410) 313-6212




License:

1690

Contacts:

Adolescent Program





903686 12/22/2008 12/22/2010General 1/9/2009






904833 10/25/2012 10/25/2014General 11/16/2012







Emergency Contact: Cynthia Lipsitz, MD

(410) 313-6168 (410) 313-6303


Emergency Contact: Kevin McCoy

(410) 313-6202 (410) 235-9769(443) 904-7498 (410) 313-6303


Medical Director: Cynthia Lipsitz, MD

(410) 313-6168 (410) 313-6303


Owner: Mrs. Marilyn Fauntleroy

(410) 313-6202


Owner: Mr. Dudley Greer

(410) 887-3828 (410) 887-3786


Program Director: Mr. Dudley Greer

(410) 887-3828 (410) 887-3786


FacilityName: Howard County Health Department

Address: 7301 Waterloo Rd. Jessup MD 20794

Phone: (410) 313-1149 Fax: (410) 313-5226




License:

1692

Contacts:




903687 12/22/2008 12/22/2010General 1/9/2009



904815 10/25/2012 10/25/2014General 11/8/2012



Emergency Contact: Mr. Dudley Greer

(410) 887-3828 (410) 887-3786


Emergency Contact: Barrington Page

(410) 313-6300 (410) 663-1123(410) 302-3368 (443) 285-0527


Medical Director: Maura Rossman, MD

410-313-6168 410-313-6212


Owner: Mr. Dudley Greer

(410) 887-3828 (410) 887-3786


Program Director: Mr. Dudley Greer

(410) 887-3828 (410) 887-3786



Address: 10630 Little Patuxtent Parkway, Suite 209 Columbia MD 21044

Phone: (410) 740-8067 Fax: (410) 740-8068




License:

3459

Contacts:

Adolescent Program





904888 2/28/2013 2/28/2015General 3/7/2013





(410) 740-8066 (240) 462-4547



(410) 740-8066 (410) 740-8068



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547


FacilityName: J.A.E.L. Health Services, Inc.

Address: 10176 Balt. National Pike, Unit 115 Ellicott City MD 21042

Phone: (410) 203-2120 Fax: (410) 203-2123




License:

3038

Contacts:





904588 5/4/2012 5/4/2014General 5/15/2012




Emergency Contact: Ms. Elizabeth Tully

410-203-2120 1-240-606-2557443-527-3885 410-203-2123



(410) 225-8240 (410) 225-8230(410) 599-8363 (410) 225-8209


Owner: Ms. Eva Flemembaum

410-203-2120 (410) 560-6744(443) 320-3007 410-203-2123


Program Director: Myron Johnson

(410) 203-2120 (410) 446-3292 (410) 203-2123


Sponsor: Ms. Eva Flemembaum

410-203-2120 (410) 560-6744(443) 320-3007 410-203-2123



Address: 10632 Little Patuxent Parkway, Suite 410 Columbia MD 21044

Phone: (443) 276-0556 Fax: (443) 276-0555




License:

790

Contacts:


903174 11/30/2006 11/30/2008General 12/21/2006





903823 11/10/2009 11/10/2011General 11/18/2009




Level II.D -- Ambulatory Detox - -

904510 4/23/2012 4/23/2014General 4/25/2012





Emergency Contact: Dr. George KolodnerPhone Alt. PhoneCell Fax:




301-589-0255 443-756-6312 301-589-0291



FacilityName: Silverman Treatment Solutions

Address: 7178 Columbia Gateway Dr., Suite #400 Columbia MD 21046

Phone: (443) 285-0807 Fax: (443) 285-0527




License:

2381

Contacts:





904027 7/20/2010 1/20/2011Initial 7/28/2010





904167 3/8/2011 3/8/2013General 3/10/2011





904924 4/17/2013 4/17/2015General 4/18/2013





Emergency Contact: Mr. Teron Powell

443-285-0807 410-566-0578302-228-9197 443-285-0527


Medical Director: David Fairbanks, M.D.

443-285-0807 443-285-0527


Program Director: Mr. Teron Powell

443-285-0807 410-566-0578302-228-9197 443-285-0527


FacilityName: Silverman Treatment Solutions

Address: 8930 Stamford Blvd. Columbia MD 21045

Phone: (443) 285-0807 Fax: (443) 285-0527




License:

3773

Contacts:






Deaf Services

905109 12/1/2013 12/1/2015General 12/27/2013





Emergency Contact: Mr. Teron Powell

443-285-0807 410-566-0578302-228-9197 443-285-0527


Medical Director: David Fairbanks, M.D.

443-285-0807 443-285-0527


Owner: Ms. Sharel Rogers

(619) 208-0219 (888) 241-5180


Owner: Sharel Roges

443-285-0807 619-208-0219 443-285-0527


Program Director: Mr. Teron Powell

443-285-0807 410-566-0578302-228-9197 443-285-0527


Sponsor: Sharel Roges

443-285-0807 619-208-0219 443-285-0527


FacilityName: Tuerk House, Inc.- Howard House

Address: 4100 College Ave., Building #8 Ellicott City MD 21043

Phone: (410) 313-1457 Fax: (410) 313-1449




License:

3233

Contacts:



904733 7/27/2012 7/27/2014General 8/1/2012





Emergency Contact: Albert Arlington

410-313-1457 410-302-9776 410-313-1449



410-706-7480 410-328-2337410-340-8916 410-328-0020


Owner: Tim Craig

410-233-0684 410-233-8540


Program Director: Tim Craig

410-233-0684 410-233-8540


Sponsor: Tim Craig

410-233-0684 410-233-8540


Kent County

FacilityName: Kent County Behavioral Health

Address: 114 A Lynchburg St. Chestertown MD 21620

Phone: (410) 778-2616 Fax: (410) 778-5431




License:

2131

Contacts:

Adolescent Program






Deaf Services

904004 6/10/2010 6/10/2012General 6/14/2010



904005 6/10/2010 12/10/2010Initial 6/17/2010



Emergency Contact: Ms. Carol Wilse

(410) 778-2616 (410) 810-3071(410) 708-8526 (410) 778-5431


Owner: Ms. Carol Wilse

(410) 778-2616 (410) 810-3071(410) 708-8526 (410) 778-5431


Program Director: Ms. Carol Wilse

(410) 778-2616 (410) 810-3071(410) 708-8526 (410) 778-5431


FacilityName: Kent County Behavioral Health- Outpatient Addictions Services

Address: 300 Scheeler Rd. Chestertown MD 21620

Phone: (410) 778-2616 Fax: (215) 951-0312




License:

3179

Contacts:

Adolescent Program







904697 6/28/2012 6/28/2014General 7/10/2012





Emergency Contact: Nancy Connolly

410-778-5783 410-648-5456410-708-8094 410-778-7052



(410) 479-8030 (410) 778-1350 (410) 479-0554


Owner: Nancy Connolly

410-778-5783 410-648-5456410-708-8094 410-778-7052


Program Director: Nancy Connolly

410-778-5783 410-648-5456410-708-8094 410-778-7052


FacilityName: Kent County Behavioral Health/A. F. Whitsitt Center

Address: 300 Scheeler Rd. Chestertown MD 21620

Phone: (410) 778-6404 Fax: (410) 778-5431




License:

3177

Contacts:

Adolescent Program








904696 6/20/2012 6/20/2014General 7/10/2012






Emergency Contact: Ms. Linda Wilson

410-778-6404 x33 410-778-7052


Medical Director: Dr. Leland Spender

(410) 778-6404 (410) 778-5431


Owner: Ms. Linda Wilson

410-778-6404 x33 410-778-7052


Program Director: Ms. Linda Wilson

410-778-6404 x33 410-778-7052


Montgomery County


Address: 1300 Forest Glen Rd. Silver Spring MD 20901

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2900

Contacts:



904489 3/30/2012 3/30/2014General 4/4/2012






(410) 481-0770 (410) 312-9273




Address: 357 Frederick Ave. Rockville MD 20850

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

3482

Contacts:






904904 3/4/2013 9/4/2013Initial 3/26/2013





Program Director: Mr. Daryl HillPhone Alt. PhoneCell Fax:


FacilityName: Adventist Behavioral Health

Address: 14901 Broschart Rd. Rockville MD 20850

Phone: (301) 251-4500 Fax: (301) 251-4693




License:

2293

Contacts:

Adolescent Program






Deaf Services

904108 9/22/2010 3/22/2011Initial 11/17/2010






905086 10/22/2013 10/22/2015General 12/5/2013








Emergency Contact: Ms. Yvonne D. Brock, MA CAC-AD


Emergency Contact: . Patrick Gollegly, CAC-AD, LGPC

301-251-4500 1410-485-4816443-839-9993 301-251-4693

[email protected]


Owner: Ms. Yvonne D. Brock, MA CAC-ADPhone Alt. PhoneCell Fax:

Program Director: Ms. Yvonne D. Brock, MA CAC-AD


Sponsor: Ms. Patricia Petralia, MSN,RN

(301) 251-4644 (301) 251-6502


FacilityName: Another Way, Inc.

Address: 1363 Holton Ln Takoma Park MD 20912

Phone: (301) 434-2622 Fax: (301) 434-2644




License:

1512

Contacts:


DWI Education


903584 5/22/2008 11/22/2008Initial 5/29/2008



903708 3/17/2009 9/17/2009Initial 3/19/2009




903709 3/17/2009 3/17/2011General 3/19/2009



903926 4/9/2010 4/9/2012General 4/9/2010





904190 4/7/2011 4/7/2013General 4/11/2011





904939 3/3/2013 3/3/2015General 5/3/2013




DWI Program Director: Mr. John ClayePhone Alt. PhoneCell Fax:

Emergency Contact: Mr. John ClayePhone Alt. PhoneCell Fax:


301-645-5538 301-645-5539


Program Director: Mr. John ClayePhone Alt. PhoneCell Fax:

FacilityName: Avery House for Women and Children

Address: 14705 Avery Rd. Rockville MD 20853

Phone: (301) 762-4651 Fax: (301) 762-4836




License:

2839

Contacts:

Adolescent Program





904448 3/7/2012 3/7/2014General 3/8/2012



904810 10/31/2012 4/30/2013Initial 11/5/2012




Emergency Contact: Ms. Celeste Boykins

(301) 762-4651 (301) 762-4836


Owner: Ms. Celeste Boykins

(301) 762-4651 (301) 762-4836


Program Director: Ms. Celeste Boykins

(301) 762-4651 (301) 762-4836


FacilityName: Avery Road Combined Care


Phone: (301) 279-8828 Fax: (301) 279-8910




License:

2236

Contacts:





904068 9/20/2010 3/20/2011Provisional 9/27/2010






904189 4/6/2011 4/6/2013General 4/11/2011






904819 10/25/2012 10/25/2014General 11/8/2012








301-762-5613 240-409-1417 301-762-3451

[email protected]


Medical Director: Tara Joseph, MD Phone Alt. PhoneCell Fax:

Owner: Meghan Westwood, LCSW-C

301-762-5613 240-409-1417 301-762-3451


Program Director: Malika Curry

301-762-5613 301-762-3451


FacilityName: Avery Road Treatment Center


Phone: (301) 762-5613 Fax: (301) 762-3451




License:

3366

Contacts:






904818 10/25/2012 10/25/2014General 11/8/2012






Emergency Contact: Ms. Megan Westwood

(301) 294-4015 (301) 762-3451


Medical Director: Dr. Arthur Schoengold

301-762-5613 301-762-3451


Owner: Ms. Megan Westwood

(301) 294-4015 (301) 762-3451


Program Director: Mr. Kenneth Katkowsky, LCSW-C

(301) 762-5613 301-762-3451

[email protected]


Sponsor: Ms. Megan Westwood

(301) 294-4015 (301) 762-3451


FacilityName: Bilingual Counseling Center

Address: 11301 Georgia Ave. 2nd Floor Wheaton MD 20902

Phone: (301) 942-7821 Fax: (301) 942-7114




License:

692

Contacts:




903269 4/24/2007 4/24/2009General 5/21/2007



904831 11/9/2012 11/9/2014General 11/13/2012





Emergency Contact: Mr. Valentin Milstein

(301) 942-7821 (301) 942-7114


Owner: Mr. Valentin Milstein

(301) 942-7821 (301) 942-7114


Program Director: Mr. Valentin Milstein

(301) 942-7821 (301) 942-7114


SAMIS Liaison: Mr. Aristides RuizPhone Alt. PhoneCell Fax:

Sponsor: Mr. Valentin Milstein

(301) 942-7821 (301) 942-7114


FacilityName: Circle Treatment Center

Address: 424 N. Frederick Ave. Suite 8A Gaithersburg MD 20877

Phone: (301) 258-2626 Fax: (301) 258-9744




License:

772

Contacts:


903146 10/6/2006 10/6/2008General 10/24/2006



Emergency Contact: Rosalind Goldfarb, Ph.D.

(301) 258-2626 (301) 258-9744


Medical Director: Mr. Alan Schwartzberg

301-590-9000


Owner: Dr. Rosalind GaoldfarbPhone Alt. PhoneCell Fax:

Program Director: Rosalind Goldfarb, Ph.D.

(301) 258-2626 (301) 258-9744


Sponsor: Rosalind Goldfarb, Ph.D.

(301) 258-2626 (301) 258-9744


FacilityName: Counseling Plus, Inc.

Address: 8561 Fenton St. Suite 230 Silver Spring MD 20910

Phone: (301) 565-9001 Fax: (301) 565-9003




License:

322

Contacts:





7076 3/21/2003 3/21/2005General



14301 4/29/2005 4/29/2007Generalreturned, wrong cid

8/31/2005



14957 8/16/2005 8/16/2007General 12/13/2005



903402 8/22/2007 8/22/2009General 10/17/2007



904449 1/17/2012 1/17/2014General 3/12/2012




904450 1/17/2012 7/17/2012Initial 3/12/2012



904792 10/2/2012 10/2/2014General 10/10/2012



Emergency Contact: Eugenio Cid

301-565-9001 301-802-8481 301-565-9003


Owner: Eugenio Cid

301-565-9001 301-802-8481 301-565-9003


Program Director: Eugenio Cid

301-565-9001 301-802-8481 301-565-9003


Sponsor: Eugenio Cid

301-565-9001 301-802-8481 301-565-9003


FacilityName: D. A. Wynne and Associates, Inc.

Address: 10230 New Hampshire Ave. Suite 206 Silver Spring MD 20903

Phone: (301) 439-6700 Fax: (301) 439-5755




License:

779

Contacts:



DWI Education



903158 11/17/2006 11/17/2008General 11/27/2006



904828 10/3/2012 10/3/2014General 11/13/2012




DWI Program Director: Ms. Karen Cooper

(301) 439-6700 (410) 757-8899(410) 507-0535 (301) 439-5755


Emergency Contact: Casey Wynne

(301) 439-6700 (240) 472-8424 (301) 439-5755


Owner: Casey Wynne

(301) 439-6700 (240) 472-8424 (301) 439-5755


Program Director: Ms. Karen Cooper

(301) 439-6700 (410) 757-8899(410) 507-0535 (301) 439-5755


FacilityName: D. A. Wynne and Associates, Inc.

Address: 11900 Parklawn Dr., Suite 120 Rockville MD 20852

Phone: (301) 468-5663 Fax: (301) 468-5994




License:

782

Contacts:





DWI Education


903161 11/17/2006 5/17/2007Initial 12/14/2006



903522 2/1/2008 2/1/2010General 2/29/2008



904794 10/3/2012 10/3/2014General 10/10/2012




DWI Program Director: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

Emergency Contact: Casey Wynne

(301) 439-6700 (240) 472-8424 (301) 439-5755


Owner: Casey Wynne

(301) 439-6700 (240) 472-8424 (301) 439-5755


Program Director: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

FacilityName: Family Health Center

Address: 818 W. Diamond Ave., Suite 110 Gaithersburg MD 20878

Phone: (301) 963-7222 Fax: (301) 963-2616




License:

3369

Contacts:





904820 11/2/2012 11/2/2014General 11/8/2012




Emergency Contact: Ms. Ana Haro

301-963-7222 301-366-4252 301-963-2616


Owner: Ms. Ana Haro

301-963-7222 301-366-4252 301-963-2616


Program Director: Ms. Ana Haro

301-963-7222 301-366-4252 301-963-2616


FacilityName: Family Services, Inc. - Step Ahead Program

Address: 19530 Doctors Dr. Germantown MD 20874

Phone: (240) 686-0707 Fax: (240) 686-0711




License:

3859

Contacts:

Adolescent Program






905153 3/29/2013 3/29/2015General 6/12/2014





Emergency Contact: Thomas Sumser

240-686-0707 301-947-0058240-388-5008 240-686-0711


Owner: Arleen Ragan, Ph.D.

240-686-0707 240-686-0711


Program Director: Arleen Ragan, Ph.D.

240-686-0707 240-686-0711


FacilityName: Harrison & Feldhausen Pc

Address: 2923 Olney Sandy Spring Rd., Suite E Olney MD 20832

Phone: (301) 570-4400 Fax: (301) 570-0000




License:

2605

Contacts:




904303 9/12/2011 3/12/2012Initial 9/20/2011




904505 4/19/2012 4/19/2014General 4/23/2012




Emergency Contact: Ms. Barbara HarrisonPhone Alt. PhoneCell Fax:

Owner: Ms. Roberta FeldhausenPhone Alt. PhoneCell Fax:

Program Director: Ms. Barbara HarrisonPhone Alt. PhoneCell Fax:

Sponsor: Ms. Roberta FeldhausenPhone Alt. PhoneCell Fax:


Address: 2911-A Sandy Spring Rd. Olney MD 20832

Phone: (410) 240-8067 Fax: (410) 240-8068




License:

3465

Contacts:




904892 2/28/2013 2/28/2015General 3/7/2013





(410) 740-8066 (240) 462-4547



(410) 740-8066 (410) 740-8068



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547



(410) 740-8066 (240) 462-4547


FacilityName: Journey to Self Understanding

Address: #1 Research Court, Suite 450 Rockville MD 20850

Phone: (240) 403-4036 Fax: (301) 569-8817




License:

3253

Contacts:




904743 8/17/2012 2/17/2013Initial 8/21/2012



904744 8/17/2012 2/17/2013Provisional 8/21/2012



Emergency Contact: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Medical Director: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Owner: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Program Director: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Sponsor: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


FacilityName: Journey to Self Understanding

Address: 8720 Georgia Ave., Suite 706 Silver Spring MD 20910

Phone: (240) 403-4036 Fax: (301) 565-8817




License:

3267

Contacts:




904752 8/17/2012 2/17/2013Initial 8/23/2012



904753 8/17/2012 2/17/2013Provisional 8/23/2012



Emergency Contact: Sonia Nieves

301-693-5410 240-606-5352 301-565-8817


Owner: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Program Director: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


Sponsor: Elizabeth Nyang, LCPC

301-438-2225 301-693-5410 301-519-8001


FacilityName: Journey's Outpatient Program

Address: 402 Hungerford Dr. Rockville MD 20850

Phone: (301) 294-4015 Fax: (301) 294-4017




License:

3544

Contacts:

Adolescent Program



904947 5/13/2013 5/13/2015General 5/15/2013






301-762-5613 240-409-1417 301-762-3451

[email protected]


Owner: Meghan Westwood, LCSW-C

301-762-5613 240-409-1417 301-762-3451


Program Director: Meghan Westwood, LCSW-C

301-762-5613 240-409-1417 301-762-3451


Sponsor: Meghan Westwood, LCSW-C

301-762-5613 240-409-1417 301-762-3451


FacilityName: KHI Services

Address: 19530 Doctors Dr. Germantown MD 20874

Phone: (240) 686-0707 Fax: (240) 686-0711




License:

3505

Contacts:

Adolescent Program





904919 3/29/2013 3/29/2015General 4/10/2013




Emergency Contact: Thomas Sumser

240-686-0707 301-947-0058240-388-5008 240-686-0711


Owner: Thomas Sumser

240-686-0707 301-947-0058240-388-5008 240-686-0711


Program Director: Arleen Regan

240-686-0707 204-686-0711


Sponsor: Thomas Sumser

240-686-0707 301-947-0058240-388-5008 240-686-0711



Address: 15932-B Shady Grove Rd. Gaithersburg MD 20877

Phone: (301) 330-7696 Fax: (301) 330-5639




License:

2934

Contacts:




904511 4/23/2012 4/23/2014General 4/25/2012








301-589-0255 443-756-6312 301-589-0291




Address: 1003 Spring St. Silver Spring MD 20910

Phone: (240) 821-1222 Fax: (240) 821-1227




License:

2953

Contacts:




9815 2/24/2004 2/24/2006General 6/1/2005



903172 11/30/2006 11/30/2008General 12/21/2006





903821 11/10/2009 11/10/2011General 11/18/2009





904521 4/23/2012 4/23/2014General 4/26/2012









301-589-0255 443-756-6312 301-589-0291




Address: 8561 Fenton St. Suite 250 Silver Spring MD 20910

Phone: (240) 821-1222 Fax: (240) 821-1227




License:

2971

Contacts:



904534 4/27/2012 10/27/2012Initial 5/2/2012





904822 10/31/2012 10/31/2014General 11/8/2012







Program Director: Dr. George KolodnerPhone Alt. PhoneCell Fax:

FacilityName: Lawrence Court Halfway House

Address: 1 Lawrence Court Rockville MD 20853

Phone: (301) 251-8920 Fax: (301) 251-8937




License:

2907

Contacts:



904494 3/22/2012 9/22/2012Initial 4/5/2012




904877 1/24/2013 1/24/2015General 2/4/2013





301-762-5613 240-409-1417 301-762-3451

[email protected]



410-233-1400 410-233-5583


Owner: Mr. Kenneth Katkowsky, LCSW-C

(301) 762-5613 301-762-3451


Program Director: Mr. Kenneth Katkowsky, LCSW-C

(301) 762-5613 301-762-3451

[email protected]


Sponsor: Mr. Marc Fishman

410-233-1400 410-233-5583


Sponsor: Mr. Kenneth Katkowsky, LCSW-C

(301) 762-5613 301-762-3451


FacilityName: Maryland Counseling Centers, Inc.

Address: 20 Courthouse Square, Suite 202 Rockville MD 20850

Phone: (301) 424-6955 Fax: (301) 424-4836




License:

1588

Contacts:






4309 2/15/2002 2/15/2004General 5/6/2005



9808 2/24/2004 2/24/2006General 6/1/2005



15848 3/12/2006 3/12/2008General 4/14/2006



903623 6/24/2008 6/24/2010General 7/1/2008



904918 4/1/2013 4/1/2015General 4/2/2013




Emergency Contact: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261


Owner: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261


Program Director: Frederick Oeltjen,

(301) 662-0855 (301) 662-6261


SAMIS Liaison: Rachelle Bowman, Ph.D.Phone Alt. PhoneCell Fax:

FacilityName: Metro Counseling Services, Inc.

Address: 15719 Crabbs Branch Way Rockville MD 20855

Phone: (301) 670-6161 Fax: (301) 670-6163




License:

827

Contacts:

903222 3/6/2007 3/6/2009General 3/29/2007



903713 3/18/2009 9/18/2009Provisional 4/2/2009




904949 5/3/2013 5/3/2015General 5/15/2013




Emergency Contact: Mr. Jerri Benner-Gunnison

301-670-6161 301-670-6163


Owner: Mr. Jerri Benner-Gunnison

301-670-6161 301-670-6163


Program Director: Mr. Jerri Benner-Gunnison

301-670-6161 301-670-6163


Sponsor: Mr. Jerri Benner-Gunnison

301-670-6161 301-670-6163


FacilityName: Montgomery County Health and Human Services Outpatient Addiction Services

Address: 981 Rollins Ave. Rockville MD 20852

Phone: (240) 777-1680 Fax: (240) 777-3381




License:

3707

Contacts:







Deaf Services

905053 9/27/2013 9/27/2015General 10/1/2013





Emergency Contact: Mr. Larry Gamble

(240) 777-1444 (240) 777-3381


Medical Director: Neha Nayyar, MD Phone Alt. PhoneCell Fax:

Owner: Mr. Larry Gamble

(240) 777-1444 (240) 777-3381


Program Director: Mr. Larry Gamble

(240) 777-1444 (240) 777-3381


Sponsor: Mr. Larry Gamble

(240) 777-1444 (240) 777-3381


FacilityName: Montgomery County Jail Addiction Services

Address: 22880 Whelan Ln Boyds MD 20841

Phone: (240) 773-9732 Fax: (240) 773-9736




License:

729

Contacts:





903101 6/1/2006 6/1/2008General 9/14/2006



903807 10/29/2009 4/29/2010Initial 11/10/2009



904163 12/28/2010 12/28/2012General 3/2/2011



904948 5/9/2013 5/9/2015General 5/15/2013


Level II.5.C -- Partial Hospitalization 96 -

Emergency Contact: Mr. Larry Wilson

(240)773-9732 (301) 537-8872 (240) 773-9736


Owner: Mr. Larry Wilson

(240)773-9732 (301) 537-8872 (240) 773-9736


Program Director: Mr. Larry Wilson

(240)773-9732 (301) 537-8872 (240) 773-9736


SAMIS Liaison: Ms. Cindy Cresswell

(410) 887-1503 (410) 887-1522


Sponsor: Mr. Larry Wilson

(240)773-9732 (301) 537-8872 (240) 773-9736


FacilityName: Montgomery General Hospital

Address: 18101 Prince Philip Dr. Olney MD 20832

Phone: (301) 774-8800 Fax:




License:

569

Contacts: Program Director: Mr. Kent Fangboner

(301) 774-8803


SAMIS Liaison: Ms. Stacy Paul

(301) 774-8636


FacilityName: Montgomery Recovery Services, Inc.

Address: 14636 Rothgeb Dr. Rockville MD 20854

Phone: (301) 762-5300 Fax: (301) 762-3646




License:

3247

Contacts:





904740 8/9/2012 8/9/2014General 8/13/2012




Emergency Contact: Mr. Daivid Stiles

301-762-2360 301-996-2181202-421-4210 301-762-3646


Medical Director: Dr. Scott LaStrapes

301 762-5300



Program Director: Mr. Daivid Stiles

301-762-2360 301-996-2181202-421-4210 301-762-3646




Address: 317-C E. Diamond Ave. Gaithersburg MD 20877

Phone: (301) 527-0854 Fax: (240) 243-1061




License:

2980

Contacts:







904539 4/27/2012 4/27/2014General 5/2/2012




904540 4/27/2012 10/27/2012Initial 5/2/2012




301-527-0854 301-512-0663 240-243-1061


Medical Director: Mr. James Ryan

(301) 512-0663 (240) 243-1061



301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061



Address: 101 Chestnut St., Suite 110 Gaithersburg MD 20877

Phone: (301) 527-0854 Fax: (240) 243-1061




License:

3827

Contacts:





905133 3/12/2014 3/12/2016General 3/21/2014






301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061


FacilityName: New Beginnings at Potomac Valley

Address: 1235 Potomac Valley Rd. Rockville MD 20850

Phone: (301) 762-0700 Fax: (301) 294-3293




License:

1695

Contacts:

903689 1/12/2009 1/12/2011General 1/14/2009



Emergency Contact: Chris Crabill

301-762-0700 301-294-3293


Medical Director: Wagdi Attia, MD

301-330-6470 301-330-6472


Program Director: Leah Bowden

301-762-0700 301-294-3293


FacilityName: New Beginnings at Potomac Valley Nursing and Wellness Center

Address: 1235 Potomac Valley Rd. Rockville MD 20850

Phone: (301) 762-0700 Fax: (301) 838-0513




License:

511

Contacts:

9627 2/2/2004 2/2/2006General 5/10/2005



15847 3/12/2006 3/12/2008General 4/14/2006



FacilityName: Potomac Ridge Behavioral Health

Address: 14901 Broschart Rd. Rockville MD 20850

Phone: (301) 251-4500 Fax: (301) 424-3847




License:

1744

Contacts:

Adolescent Program


903719 4/6/2009 4/6/2011General 4/13/2009




Emergency Contact: Ms. Patricia Petralia, MSN,RN

(301) 251-4644 (301) 251-6502

[email protected]


Medical Director: Dr. Errol Segal

301-251-4500 301-251-6502


Owner: Ms. Yvonne D. Brock, MA CAC-ADPhone Alt. PhoneCell Fax:

Program Director: Ms. Yvonne D. Brock, MA CAC-AD


Sponsor: Ms. Patricia Petralia, MSN,RN

(301) 251-4644 (301) 251-6502



Address: One Lawrence Court Rockville MD 20850

Phone: (301) 251-8920 Fax: (301) 251-8937




License:

2685

Contacts:




904350 11/28/2011 11/28/2013General 11/30/2011






410-382-7475 410-789-1987


Owner: William Scott, M.D.

410-276-1773 410-276-2056



410-276-1773 410-276-2056


Sponsor: William Scott, M.D.

410-276-1773 410-276-2056


FacilityName: Ryan Rehabilitation, LLC

Address: 19586 Club House Rd. Montgomery Village MD 20886

Phone: (301) 258-7771 Fax: (301) 258-9078




License:

2781

Contacts:

Adolescent Program






Deaf Services

904413 1/11/2012 1/11/2014General 1/19/2012





905113 12/20/2013 12/20/2015General 12/27/2013






Emergency Contact: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Owner: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Program Director: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Sponsor: Mr. James Ryan

(301) 512-0663 (240) 243-1061


FacilityName: Ryan Rehabilitation, LLC

Address: 3821 Farragut Ave. Kensington MD 20895

Phone: (301) 949-7771 Fax: (301) 949-7770




License:

3183

Contacts:




Deaf Services

904699 6/29/2012 12/29/2012Initial 7/11/2012





904881 2/6/2013 2/6/2015General 2/7/2013





Emergency Contact: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Owner: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Program Director: Mr. James Ryan

(301) 512-0663 (240) 243-1061


Sponsor: Mr. James Ryan

(301) 512-0663 (240) 243-1061


FacilityName: Suburban Hospital Addiction Treatment Center

Address: 6001 Montrose Rd. Suite 102 Rockville MD 20852

Phone: (301) 896-6608 Fax: (301) 881-7428




License:

2208

Contacts:

Adolescent Program




Deaf Services

904046 8/23/2010 8/23/2012General 8/31/2010





904827 11/9/2012 11/9/2014General 11/13/2012





Emergency Contact: Mrs. Beth Kane-Davidson

(301) 896-6608 (301) 896-6059


Medical Director: Harry Gill, MD, PhD Phone Alt. PhoneCell Fax:

Owner: Mrs. Beth Kane-Davidson

(301) 896-6608 (301) 896-6059


Program Director: Mrs. Beth Kane-Davidson

(301) 896-6608 (301) 896-6059


Sponsor: Mrs. Beth Kane-Davidson

(301) 896-6608 (301) 896-6059


FacilityName: Thomas Comprehensive Counseling

Address: 19586 Club House Rd. Montgomery Village MD 20886

Phone: (301) 258-7771 Fax: (301) 258-9078




License:

819

Contacts:



903211 11/17/2006 11/17/2008General 2/22/2007



Emergency Contact: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Owner: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Program Director: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Sponsor: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


FacilityName: Thomas Comprehensive Counseling

Address: 19586 Club House Rd. Gaithersburg MD 20866

Phone: (301) 258-7771 Fax: (301) 585-2979




License:

121

Contacts:


12879 11/18/2004 11/18/2006General 5/5/2005



FacilityName: Total Health Resources, Inc.

Address: 1011 University Boulevard East, Suite 101 Silver Spring MD 20903

Phone: (301) 439-7200 Fax: (301) 439-5556




License:

3262

Contacts:

Adolescent Program





904749 8/17/2012 8/17/2014General 8/22/2012




Emergency Contact: Mr. Thomas Geraci

301-439-7200 240-393-7617 301-439-5556


Owner: Mr. Thomas Geraci

301-439-7200 240-393-7617 301-439-5556


Program Director: Mr. Thomas Geraci

301-439-7200 240-393-7617 301-439-5556


Sponsor: Mr. Thomas Geraci

301-439-7200 240-393-7617 301-439-5556


FacilityName: Washington Adventist University Community Counseling Center

Address: 7600 Flower Ave. Takoma Park MD 20912

Phone: (301) 576-0131 Fax: (301) 891-4054




License:

3681

Contacts:






905038 8/19/2013 2/19/2014Initial 9/6/2013




Emergency Contact: Judith Upshaw, M. Ed. LCADC

301-576-0131 301-864-5769301-364-7538 301-891-4054

[email protected]


Owner: Judith Upshaw, M. Ed. LCADC

301-576-0131 301-864-5769301-364-7538 301-891-4054


Program Director: Judith Upshaw, M. Ed. LCADC

301-576-0131 301-864-5769301-364-7538 301-891-4054

[email protected]


Sponsor: Judith Upshaw, M. Ed. LCADC

301-576-0131 301-864-5769301-364-7538 301-891-4054


FacilityName: White Flint Recovery, Inc.

Address: 416 Hungerford Dr., Suite 209 Rockville MD 20850

Phone: (301) 294-6545 Fax: (301) 294-4804




License:

3106

Contacts:





904639 5/24/2012 5/24/2014General 6/8/2012



Emergency Contact: Ms. LadDonna McClean

240-468-2753


Medical Director: Mr. Joseph Mullen, D. O.

(410) 609-0040 240-409-1675



Program Director: Mr. Herbert HowardPhone Alt. PhoneCell Fax:


FacilityName: White Flint Recovery, Inc.

Address: 416 Hungerford Dr., Suite 316 Rockville MD 20850

Phone: (301) 294-6545 Fax: (301) 294-4804




License:

3701

Contacts:





905050 9/20/2013 9/20/2015General 10/1/2013




Emergency Contact: Ms. Alice Boswell

301-294-6545 240-508-5533240-508-5533 301-294-4804



Program Director: Mr. Herbert HowardPhone Alt. PhoneCell Fax:


Online

FacilityName: KeepSober MD DWI (ONLINE PROGRAM)

Address: 2128 Bay Front Terrace Annapolis MD 21409

Phone: (410) 349-0900 Fax: (240) 399-1379




License:

3553

Contacts:





DWI Education

904953 5/15/2013 11/15/2013Initial 5/28/2013



Emergency Contact: Stan Bielak

410-349-0900 410-974-1859410-279-1424 240-399-1379


Owner: Stan Bielak

410-349-0900 410-974-1859410-279-1424 240-399-1379


Program Director: John McClanahan, Ph.D., LCADC

410-626-7550 410-867-0507410-279-8341 410-626-8805

[email protected]


Sponsor: Stan Bielak

410-349-0900 410-974-1859410-279-1424 240-399-1379


Prince George's County


Address: 3501 Moylan Dr. Bowie MD 20715

Phone: (410) 381-0770 Fax: (410) 312-9273




License:

2885

Contacts:




904477 3/30/2012 3/30/2014General 4/2/2012






(410) 481-0770 (410) 312-9273



FacilityName: Act II Counseling Services, Inc.

Address: 413 Main St. Suite # 2 Laurel MD 20707

Phone: (301) 498-5766 Fax: (301) 490-7861




License:

1477

Contacts:




DWI Education


904471 3/30/2012 3/30/2014General 4/2/2012





DWI Program Director: Mr. Gordan WeldonPhone Alt. PhoneCell Fax:

Emergency Contact: Carolyn Romero

(301) 498-5766 (301) 776-5049(301) 776-1930 (301) 490-7861


Medical Director: Ms. Lynn Feldman

301-725-4341


Owner: Mr. Price Oden

352-489-8297 240-383-3134 352-489-8656


Program Director: Ms. Sharon Bell

301-498-5766 301-490-7861



Address: 7610 Pennsylvania Ave., Suite 103 Forestville MD 20747

Phone: (301) 420-4663 Fax: (301) 420-3492




License:

3809

Contacts:






905123 1/15/2014 1/15/2016General 1/23/2014







(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637



(410) 268-6800 (410) 268-8637


FacilityName: ASG

Address: 4372 Lottsford Vista Rd. Lanham MD 20706

Phone: (301) 429-2171 Fax: (301) 429-2180




License:

3687

Contacts:




905041 8/22/2013 2/22/2014Initial 9/6/2013





Emergency Contact: Tonya Pleasant

301-573-6585 301-512-5640301-512-5640 301-429-2180


Medical Director: Dr. Dwight Donesky

301-572-6585 301-572-5062


Owner: F. Chanteau

301-572-6585 301-572-5062


Program Director: Tonya Pleasant

301-573-6585 301-512-5640301-512-5640 301-429-2180


Sponsor: F. Chanteau

301-572-6585 301-572-5062


FacilityName: CA Mayo & Assoc Inc.

Address: 3403 Perry St. Mt. Rainier MD 20712

Phone: (301) 699-0344 Fax: (301) 699-0343




License:

3777

Contacts:


905099 1/26/2014 1/26/2016General 12/5/2013






Emergency Contact: Leatha Mayo

703-519-7940 301-218-8963301-648-9208 301-699-0343


Owner: Dr. C. Anthony Mayo

(301) 699-0344 (301) 218-8963 (301) 699-0343


Program Director: Dr. C. Anthony Mayo

(301) 699-0344 (301) 218-8963 (301) 699-0343


FacilityName: Care Consultants Treatment Center

Address: 7537 Old Alexandria Ferry Rd., Suite A Clinton MD 20735

Phone: (301) 856-2386 Fax: (301) 856-2385




License:

3163

Contacts:








904688 6/26/2012 6/26/2014General 6/27/2012





Emergency Contact: Reginald Adams, CAC II - CFC

301-856-2386 202-592-0144 pager 301-856-2385

[email protected]


Medical Director: Dr. George LoganPhone Alt. PhoneCell Fax:

Owner: Reginald Adams, CAC II - CFC

301-856-2386 202-592-0144 pager 301-856-2385


Program Director: Kestrl Leffyear

301-430-5228 240-327-1969


FacilityName: Care Consultants Treatment Center

Address: 7900 Old Branch Ave., Suite 109 Clinton MD 20735

Phone: (301) 856-2386 Fax: (301) 856-2385




License:

3453

Contacts:








904884 2/22/2013 2/22/2015General 2/26/2013





Emergency Contact: Reginald Adams, CAC II - CFC

301-856-2386 202-592-0144 pager 301-856-2385

[email protected]


Medical Director: Dr. George LoganPhone Alt. PhoneCell Fax:

Owner: Reginald Adams, CAC II - CFC

301-856-2386 202-592-0144 pager 301-856-2385


Program Director: Reginald Adams, CAC II - CFC

301-856-2386 202-592-0144 pager 301-856-2385

[email protected]


FacilityName: Community Counseling & Mentoring Services, Inc.

Address: 1400 Mercantile Ln, Suite 232 Largo MD 20774

Phone: (301) 583-0001 Fax: (301) 583-3403




License:

3816

Contacts:

Adolescent Program




905127 2/20/2014 8/20/2014Initial 2/26/2014




Emergency Contact: Tyler Calabrese, Psy D.

301-583-0001 301-583-3403


Medical Director: Mahindrinauth Deonarine, MD

301-583-0001 301-583-3403


Owner: Anthony Carvana, Sr.

301-583-0001 301-583-3403


Program Director: Tyler Calabrese, Psy D.

301-583-0001 301-583-3403


FacilityName: Community Outreach Services, Inc.

Address: 6215 Greenbelt Rd., Suite 206 Greenbelt MD 20740

Phone: (202) 247-1999 Fax: (301) 513-0181




License:

3633

Contacts:




905007 8/5/2013 2/5/2014Initial 8/19/2013





Emergency Contact: Michael Nettles

202-247-1999 202-247-1999 301-513-0181


Owner: Michael Nettles

202-247-1999 202-247-1999 301-513-0181


Program Director: Michael Nettles

202-247-1999 202-247-1999 301-513-0181


Sponsor: Michael Nettles

202-247-1999 202-247-1999 301-513-0181


FacilityName: Comprehensive Correctional Recovery & Treatment Program CCoRT

Address: 13400 Dille Dr. Upper Marlboro MD 20772

Phone: (301) 952-7062 Fax: (301) 952-2394




License:

2925

Contacts:




904506 4/19/2012 4/19/2014General 4/23/2012



Emergency Contact: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


Owner: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


Program Director: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


FacilityName: Comprehensive Treatment Services, Inc.

Address: 8900 Edgeworth Dr., Suite C Capital Heights MD 20743

Phone: (301) 324-3757 Fax: (301) 324-3780




License:

1725

Contacts:

Adolescent Program




DWI Education

903707 3/17/2009 3/17/2011General 3/19/2009




Emergency Contact: Mr. Marcus Smoot

301-324-3757 301-717-3942 301-324-3046


Medical Director: Ms. Nicole Johnson

(301) 324-3757 202-669-4146 (301) 324-3046


Owner: Mr. Marcus Smoot

301-324-3757 301-717-3942 301-324-3046


Program Director: Ms. Nicole Johnson

(301) 324-3757 202-669-4146 (301) 324-3046


FacilityName: Comprehensive Treatment Services, Inc.

Address: 575 Ritchie Rd. Capital Heights MD 20743

Phone: (301) 324-3757 Fax: (301) 324-3780




License:

228

Contacts:


4615 4/1/2002 4/1/2004General




10526 4/30/2004 4/30/2006General 6/2/2005




12559 1/5/2005 1/5/2007General




13328 1/5/2005 1/5/2007General 5/24/2005




13666 5/24/2005 11/24/2005Initialsee also reg #10526 General, O/P expires 4/30/06

6/14/2005




15850 3/20/2006 3/20/2008General 4/14/2006




FacilityName: Family Health Center

Address: 3415 Hamilton St. Suite 9 W. Hyattsville MD 20782

Phone: (301) 779-2461 Fax: (301) 779-6095




License:

3371

Contacts:






904821 11/2/2012 11/2/2014General 11/8/2012




Emergency Contact: Mr. Samuel Woldemichael

(301) 779-2461 (240) 997-6458(240) 997-6458 (301) 779-6095


Medical Director: Dr. John Daken

301-779-2461 301-963-7222301-445-2103 301-779-6095


Owner: Bruke Tadesse,

(301) 779-6095 (301) 779-6095(301) 779-6095 (301) 779-6095


Program Director: Bruke Tadesse,

(301) 779-6095 (301) 779-6095(301) 779-6095 (301) 779-6095


Sponsor: Bruke Tadesse,

(301) 779-6095 (301) 779-6095(301) 779-6095 (301) 779-6095


FacilityName: Fields and Fields Treatment Center, LLC

Address: 6108 Old Silver Hill Rd., Suite 217 District Heights MD 20747

Phone: (240) 788-6125 Fax: (240) 788-6156




License:

2611

Contacts:





904307 9/28/2011 9/28/2013General 9/29/2011




905011 8/13/2013 8/13/2015General 8/19/2013





Emergency Contact: Mr. Clifford Fields, Sr.

(240) 832-2071 (301) 725-0570


Medical Director: Dr. Ronnie Moore

(240) 832-2071 (202) 528-0195


Owner: Mr. Clifford Fields, Sr.

(240) 832-2071 (301) 725-0570


Program Director: Mr. Clifford Fields, Sr.

(240) 832-2071 (301) 725-0570


FacilityName: Gaudenzia at Landover

Address: 337 Brightseat Rd., Suite 220 Landover MD 20785

Phone: (301) 324-1201 Fax: (301) 324-1215




License:

1013

Contacts:




903312 6/18/2007 6/18/2009General 7/23/2007




Emergency Contact: Mr. Michael Harle

610-239-9600


Owner: Mr. Michael Harle

610-239-9600


Program Director: Ms. Francina Parrish

(301) 324-1201 (410) 627-3552 (301) 324-1215


Sponsor: Mr. Michael Harle

610-239-9600



Address: 5210 Auth Rd., Suite 300 Suitland MD 20746

Phone: (301) 423-0967 Fax: (301) 423-2750




License:

2918

Contacts:


904502 4/17/2012 4/17/2014General 4/18/2012





Emergency Contact: Ms. Kate Roff

(301) 423-0967 (301) 980-8984 (301) 423-2750


Medical Director: Dr. Alliyah Jones

410-375-1985



(301) 980-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750



Address: 4920 Niagra Rd. Suite 101 College Park MD 20740

Phone: (301)345-1200 Fax: (301) 423-2750




License:

2920

Contacts:


904503 4/17/2012 4/17/2014General 4/19/2012





Emergency Contact: Ms. Kate Roff

(301) 423-0967 (301) 980-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750



Address: 4710 Auth Place, Suite 690 Suitland MD 20746

Phone: (301) 423-0967 Fax: (301) 423-2750




License:

3228

Contacts:





904730 7/23/2012 7/23/2014General 7/30/2012





Emergency Contact: Ms. Patricia Roff

(301) 423-0967 (301) 292-4916(301) 908-8984 (301) 423-2750


Medical Director: Dr. Alliyah Jones

410-375-1985



(301) 980-8984 (301) 423-2750


Program Director: Ms. Patricia Roff

(301) 423-0967 (301) 292-4916(301) 908-8984 (301) 423-2750



(301) 980-8984 (301) 423-2750


FacilityName: Institute of Life and Health

Address: 5311 Water St., Suite D Upper Marlboro MD 20772

Phone: (301) 627-3007 Fax: (301) 627-3104




License:

1712

Contacts:






903121 9/14/2006 9/14/2008General 9/25/2006



903699 3/9/2009 3/9/2011General 3/18/2009



904849 11/19/2012 11/19/2014General 11/29/2012



Emergency Contact: E. Medlin

301-627-3007 301-855-6240 301-627-3104


Program Director: E. Medlin

301-627-3007 301-855-6240 301-627-3104


FacilityName: Integrated Behavioral Health Solutions, LLC

Address: 3611 Branch Ave., Suite 404 Temple Hills MD 20748

Phone: (301) 278-5997 Fax: (301) 456-1889




License:

3474

Contacts:

Adolescent Program








904899 3/5/2013 3/5/2015General 3/26/2013





Emergency Contact: Bernard Akinseye, BA, MA, LCPC

(301) 341-0081 (240) 595-8191 (301) 341-0087

[email protected]


Owner: Bernard Akinseye, BA, MA, LCPC

(301) 341-0081 (240) 595-8191 (301) 341-0087


Program Director: Bernard Akinseye, BA, MA, LCPC

(301) 341-0081 (240) 595-8191 (301) 341-0087

[email protected]


Sponsor: Bernard Akinseye, BA, MA, LCPC

(301) 341-0081 (240) 595-8191 (301) 341-0087


FacilityName: Interdynamics, Inc.

Address: 4601 Forbes Blvd., Suite 200 Lanham MD 20706

Phone: (301) 306-4590 Fax: (301) 306-4591




License:

2624

Contacts:

Adolescent Program







904314 9/28/2011 9/28/2013General 10/6/2011




905064 9/28/2013 9/28/2015General 10/22/2013





Emergency Contact: Janet Trijo, CSAC, NCACII

(301) 306-4590 (703) 907-9126 (301) 306-4591


Medical Director: Dr. James Ballard

(301) 306-4590 (301) 306-4591


Owner: Joan Branch

(301) 306-4590 (301) 306-4591


Program Director: Cheryl Dunston, Ph.D., LCADC

(301) 306-4590 410-537-0698 (301) 306-4591


Sponsor: Joan Branch

(301) 306-4590 (301) 306-4591


FacilityName: Langley Park Youth & Family Center

Address: 1401 E. University Blvd., Unit G-201 Hyattsville MD 20783

Phone: (301) 434-4890 Fax: (301) 434-4896




License:

2671

Contacts:

Adolescent Program


904341 11/16/2011 11/16/2013General 11/30/2011



Emergency Contact: Mr. Eduardo Moquete

(301) 434-4895 (301) 445-5631(240) 286-8310 (301) 583-0366


Owner: Mr. Brian PrichardPhone Alt. PhoneCell Fax:

Program Director: Mr. George Kolarik

(301) 883-3510 (301) 883-3514(240) 417-8441 (301) 772-2831


Sponsor: Ms. Candice Cason

(301) 883-7853 (301) 386-3531



Address: 1835 University Blvd. Suite 220 Hyattsville MD 20783

Phone: (301) 326-4356 Fax: (301) 326-4361




License:

2975

Contacts:







904536 4/27/2012 4/27/2014General 5/2/2012





301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061



301-527-0854 301-512-0663 240-243-1061


FacilityName: New Horizons Health Services, Inc.

Address: 605 Main St. Laurel MD 20707

Phone: (301) 483-0134 Fax: (301) 483-0137




License:

2647

Contacts:





904328 10/31/2011 4/30/2012Initial 11/2/2011






904442 3/1/2012 3/1/2014General 3/5/2012








Emergency Contact: Myra Quist

301-421-1886 240-593-6914301-483-4216 301-421-1890


Medical Director: Nurul Chowdhury

301-421-1886 301-421-1890


Owner: Nurul Chowdhury

301-421-1886 301-421-1890


Program Director: Nurul Chowdhury

301-421-1886 301-421-1890


Sponsor: Nurul Chowdhury

301-421-1886 301-421-1890


FacilityName: One World Foundation

Address: 807 Balsam Tree Dr. Capitol Heights MD 20743

Phone: (240) 560-7423 Fax: (240) 560-7541




License:

3588

Contacts:



904974 6/26/2013 12/26/2013Initial 7/10/2013




Emergency Contact: Patrick Gassion

240-560-7423 301-300-7521301-300-7506 240-560-7541


Medical Director: Dr. Marilyn MartinPhone Alt. PhoneCell Fax:

Owner: Patrick Gassion

240-560-7423 301-300-7521301-300-7506 240-560-7541


Program Director: Patrick Gassion

240-560-7423 301-300-7521301-300-7506 240-560-7541


Sponsor: Patrick Gassion

240-560-7423 301-300-7521301-300-7506 240-560-7541


FacilityName: Prince George's County Department of Corrections- Day Reporting CCoRT Phase II

Address: 5001 Silver Hill Rd. Suitland MD 20746

Phone: (301) 952-7383 Fax: (301) 952-2394




License:

3114

Contacts:



904653 6/11/2012 6/11/2014General 6/13/2012



Emergency Contact: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


Owner: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


Program Director: Elizabeth Coker-Nnam

301-952-7383 301-952-1281240-507-6937 301-952-2394


FacilityName: Prince George's County Department of Corrections HIDTA- Impact Program Phase I

Address: 13400 Dille Dr. Upper Marlboro MD 20772

Phone: (301) 952-7077 Fax: (301) 952-7340




License:

2255

Contacts:



904078 6/10/2012 6/10/2014General 10/5/2010



Emergency Contact: J. Randy Howell

301-952-7063 301-574-3818


Owner: J. Randy Howell

301-952-7063 301-574-3818


Program Director: J. Randy Howell

301-952-7063 301-574-3818


Sponsor: J. Randy Howell

301-952-7063 301-574-3818


FacilityName: Prince George's County Government Department of Corrections Day Reporting HIDTA- Impact Program Phase II


Phone: (240) 492-2524 Fax: (301) 952-7077




License:

2140

Contacts:



904010 6/10/2010 6/10/2012General 6/24/2010



Emergency Contact: J. Hall, Mr.

(301) 952-7077 (301) 945-4134(240) 393-6189 (301) 952-7340


Owner: J. Hall, Mr.

(301) 952-7077 (301) 945-4134(240) 393-6189 (301) 952-7340


Program Director: J. Hall, Mr.

(301) 952-7077 (301) 945-4134(240) 393-6189 (301) 952-7340


FacilityName: Prince George's County Government Department of Corrections Day Reporting HIDTA- Impact Program Phase II


Phone: (240) 492-2524 Fax: (301) 952-7077




License:

2253

Contacts:



904077 6/10/2010 6/10/2012General 10/5/2010



Emergency Contact: J. Randy Howell

301-952-7063 301-574-3818


Owner: J. Randy Howell

301-952-7063 301-574-3818


Program Director: J. Randy Howell

301-952-7063 301-574-3818


FacilityName: Prince George's County Health Department- CAP Program

Address: 501 Hampton Park Boulevard Capitol Heights MD 20743

Phone: (301) 324-2872 Fax: (301) 324-2850




License:

3345

Contacts:





904804 10/24/2012 10/24/2014General 11/1/2012





Emergency Contact: Ms. Beverly Vayhinger

(301) 324-2832 (301) 324-2850


Medical Director: Nancy Nikkinen, M.D.

(301) 324-2841 (301) 324-2850


Owner: Dr. Donald Shell

(301) 883-7834 (301) 883-7896


Program Director: Ms. Beverly Vayhinger

(301) 324-2832 (301) 324-2850


Sponsor: Dr. Donald Shell

(301) 883-7834 (301) 883-7896


FacilityName: Prince George's County Health Department- Northern Region Addictions Services

Address: 3003 Hospital Dr. Cheverly MD 20785

Phone: (301) 583-5920 Fax: (301) 583-5952




License:

3147

Contacts:



Deaf Services

904678 6/20/2012 6/20/2014General 6/27/2012




Emergency Contact: Mr. Ronald Bates

(301) 583-5928 (301) 583-5920(240) 417-8429 (301) 583-5953


Medical Director: Betty Braswell, MD

301-583-5920 240-286-4342 301-583-5953


Owner: Mr. Ronald Bates

(301) 583-5928 (301) 583-5920(240) 417-8429 (301) 583-5953


Program Director: Mr. Ronald Bates

(301) 583-5928 (301) 583-5920(240) 417-8429 (301) 583-5953


FacilityName: Prince George's County Health Dept. - Northern Region Addiction Services

Address: 3003 Hospital Dr. Cheverly MD 20785

Phone: (301) 583-5920 Fax: (301) 583-5953




License:

3800

Contacts:




Deaf Services

905118 12/20/2013 6/20/2014Provisional 1/10/2014




Emergency Contact: Mr. Ronald Bates

(301) 583-5928 (301) 583-5920(240) 417-8429 (301) 583-5953


Medical Director: Betty Braswell, MD

301-583-5920 240-286-4342 301-583-5953


Owner: Elana Belon-Butler

301-883-7839


Program Director: Mr. Ronald Bates

(301) 583-5928 (301) 583-5920(240) 417-8429 (301) 583-5953


Sponsor: Elana Belon-Butler

301-883-7839


FacilityName: Prince George's County Health Dept. - So. Region Addictions & Mental Health

Address: 9314 Piscataway Rd. Clinton MD 20735

Phone: (301) 856-9400 Fax: (301) 856-9589




License:

2962

Contacts:




904526 5/1/2012 5/1/2014General 5/1/2012





Owner: Mr. Donald Dixon

301-856-9400 301-856-9589


Program Director: Mr. Donald Dixon

301-856-9400 301-856-9589


FacilityName: Prince George's County Jail Based Substance Abuse Program

Address: 13400 Dille Dr., Room: Treatment Services Upper Marlboro MD 20772

Phone: (301) 952-7063 Fax: (301) 780-7878



FundedClinic ID: 62

License:

3619

Contacts:






904996 8/14/2013 8/14/2015General 8/19/2013



Emergency Contact: Mr. Gregory Bearstop

(410) 268-6800 (410) 268-8637


Owner: Mr. Gregory Bearstop

(410) 268-6800 (410) 268-8637


Program Director: Mr. Gregory Bearstop

(410) 268-6800 (410) 268-8637


Sponsor: Mr. Gregory Bearstop

(410) 268-6800 (410) 268-8637


FacilityName: Reality House Treatment Center


Phone: (301) 490-0877 Fax: (301) 490-2517




License:

3071

Contacts:





904612 5/16/2012 5/16/2014General 5/24/2012





Emergency Contact: Sheri Bell

301-490-5551 443-454-3210



(410) 225-8240 (410) 225-8230(410) 599-8363 (410) 225-8209



(410) 923-6700 x103 (410) 991-6642 (410) 923-6213



(410) 923-6700 x103 (410) 991-6642 (410) 923-6213


FacilityName: Reality House Treatment Center


Phone: (301) 490-5551 Fax: (301) 490-2517




License:

3073

Contacts:





904613 5/16/2012 5/16/2014General 5/24/2012






Emergency Contact: Sheri Bell

301-490-5551 443-454-3210



(410) 225-8240 (410) 225-8230(410) 599-8363 (410) 225-8209



(410) 923-6700 x103 (410) 991-6642 (410) 923-6213



(410) 923-6700 x103 (410) 991-6642 (410) 923-6213


FacilityName: Reflections Clinical Counseling, LLC

Address: 13 C St., Suite C Laurel MD 20707

Phone: (301) 498-1550 Fax: (301) 498-1552




License:

1740

Contacts:






903717 3/18/2009 9/18/2009Initial 4/3/2009




904428 1/26/2012 1/26/2014General 2/9/2012




904726 7/20/2012 7/20/2014General 7/24/2012



Emergency Contact: Teri Burns

301-498-1550 240-475-0882 301-498-1552


Owner: Teri Burns

301-498-1550 240-475-0882 301-498-1552


Program Director: Teri Burns

301-498-1550 240-475-0882 301-498-1552


Sponsor: Teri Burns

301-498-1550 240-475-0882 301-498-1552


FacilityName: Renaissance Treatment Center

Address: 525 Eastern Ave. 2nd Floor Capitol Heights MD 20743

Phone: (301) 925-2255 Fax: (301) 925-2020


License:

Contacts:

11761 9/24/2004 9/24/2006General





11762 9/24/2004 9/24/2006General





11763 9/24/2004 9/24/2006General





903056 8/11/2006 2/11/2007Initial 8/15/2006



903232 2/22/2007 2/22/2009General 4/5/2007



DWI Program Director: Mr. Raleigh Burch, Jr.

301-925-2255 301-925-2020


Emergency Contact: Ms. Andrea Syphax

(301) 925-2255 (301) 925-2020


Medical Director: Mr. John Syphax

301-925-2255 301-925-2020


Owner: Ms. Andrea Syphax

(301) 925-2255 (301) 925-2020


Program Director: Ms. Andrea Syphax

(301) 925-2255 (301) 925-2020


SAMIS Liaison: Ms. Michelle GrayPhone Alt. PhoneCell Fax:

Sponsor: Ms. Andrea Syphax

(301) 925-2255 (301) 925-2020




697

Adolescent Program




DWI Education


903751 7/22/2009 1/22/2010Provisional 7/27/2009






904434 2/16/2012 2/16/2014General 2/28/2012





FacilityName: Second Genesis, Inc.

Address: 4620 Melwood Rd. Upper Marlboro MD 20772

Phone: (301) 568-4822 Fax: (301) 568-4986




License:

2498

Contacts:

Adolescent Program






904235 6/9/2011 6/9/2013General 6/13/2011




Emergency Contact: Mr. Titus Tucker

301-568-4822 202-607-4717240-304-0167 301-563-1546


Medical Director: Ms. Mary Bracken

301-563-1545 240-304-0165 301-563-1546


Owner: Tracye Garrett

301-568-4822 301-563-1546


Program Director: Tracye Garrett

301-568-4822 301-563-1546


Sponsor: Tracye Garrett

301-568-4822 301-563-1546


FacilityName: Thomas Comprehensive Counseling Services

Address: 7221-B Hanover Parkway (Hanover Office Park) Greenbelt MD 20770

Phone: (301) 474-2978 Fax: (301) 474-1879




License:

2957

Contacts:





904523 4/24/2012 4/24/2014General 4/27/2012




Emergency Contact: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Owner: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Program Director: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


Sponsor: Dr. Francis Thomas

(301) 585-2977 (301) 474-2978(301) 672-5186 (301) 474-1828


FacilityName: Trinity Therapeutic Center, LLC

Address: 6196 Oxon Hill Rd., Suite 260 Oxon Hill MD 20745

Phone: (301) 485-1657 Fax: (301) 485-1689




License:

3374

Contacts:







904823 10/23/2012 4/23/2013Initial 11/13/2012




Emergency Contact: Belinda Frost

301-485-1657 301-412-4950301-412-4950 301-485-1689


Owner: Sothia Green

301-485-1657 301-485-1689


Program Director: Sothia Green

301-485-1657 301-485-1689


FacilityName: Trinity Therapeutic Center, LLC

Address: 6196 Oxon Hill Rd., Suite 260 Oxon Hill MD 20745

Phone: (301) 485-1657 Fax: (301) 485-1689




License:

3534

Contacts:







904940 4/26/2013 4/26/2015General 5/8/2013





Emergency Contact: Belinda Frost

301-485-1657 301-412-4950301-412-4950 301-485-1689


Owner: Sothia Green

301-485-1657 301-485-1689


Program Director: Sothia Green

301-485-1657 301-485-1689



Address: 6201 Greenbelt Rd. Suite U-18 College Park MD 20740

Phone: (410) 576-9191 Fax: (410) 576-9257




License:

3021

Contacts:




904572 5/2/2012 5/2/2014General 5/8/2012






410-576-9191 443-790-8229 410-576-9257



410-576-9191 410-576-9257



410-576-9191 443-790-8229 410-576-9257



410-576-9191 443-790-8229 410-576-9257


Sponsor: Clark Hudak Jr., Ph.D.

410-576-9191 443-790-8229 410-576-9257


FacilityName: Urban Counseling Institute

Address: 3611 Branch Ave., Suite #101 Temple Hills MD 20748

Phone: (301) 278-7956 Fax: (301) 278-7956




License:

2536

Contacts:





904259 6/30/2011 12/30/2011Initial 7/7/2011





904651 6/7/2012 6/7/2014General 6/13/2012





Emergency Contact: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Owner: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Program Director: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Sponsor: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


FacilityName: Urban Counseling Institute

Address: 4400 Stamp Rd. #208B Temple Hills MD 20748

Phone: (301) 278-7956 Fax: (301) 278-7956




License:

3662

Contacts:





905028 8/27/2013 8/27/2015General 9/3/2013





Emergency Contact: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Owner: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Program Director: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


Sponsor: Steven Tillman

(301) 278-7956 (202) 409-3606 (301) 278-7956


FacilityName: We Care Health Services, Inc.

Address: 8730-1 Cherry Ln Laurel MD 20707

Phone: (301) 490-7995 Fax: (301) 604-9283




License:

2790

Contacts:






904418 1/19/2012 1/19/2014General 1/25/2012




905146 4/21/2014 4/21/2016General 5/21/2014





(410) 259-4985 (410) 781-4801


Medical Director: Dr. Francis Fernandes

(301) 946-9347 (301) 535-1046 (301) 946-4099



(410) 539-5224 (410) 363-7792



(410) 404-7938 (410) 538-4249


Program Director: Mr. Brent Bowman

(410) 259-4985 (410) 781-4801



(410) 766-9668 (410) 766-9673



(410) 539-5224 (410) 363-7792



(410) 766-9668 (410) 766-9673


FacilityName: We Care Health Services, Inc.

Address: 8730-1 Cherry Ln Laurel MD 20707

Phone: (301) 490-7995 Fax: (301) 604-9283




License:

2790

Contacts:






904418 1/19/2012 1/19/2014General 1/25/2012




905146 4/21/2014 4/21/2016General 5/21/2014





(410) 259-4985 (410) 781-4801


Medical Director: Dr. Francis Fernandes

(301) 946-9347 (301) 535-1046 (301) 946-4099



(410) 539-5224 (410) 363-7792



(410) 404-7938 (410) 538-4249


Program Director: Mr. Brent Bowman

(410) 259-4985 (410) 781-4801



(410) 766-9668 (410) 766-9673



(410) 539-5224 (410) 363-7792



(410) 766-9668 (410) 766-9673


FacilityName: Young Women's Facility of Maryland at Waxter Center

Address: 375 Red Clay Rd. Laurel MD 20724

Phone: (410) 792-7416 Fax: (410) 792-0398




License:

527

Contacts:

12526 4/30/2004 4/30/2006General



Queen Anne's County


Address: 115 Sallitt Dr. Stevensville MD 21666

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

2088

Contacts:






903976 5/21/2010 5/21/2012General 5/21/2010




Emergency Contact: Ms. Connie Thomas

(410) 768-5988 (443) 223-7549



(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989



Address: 141 Log Canoe Circle Stevensville MD 21666

Phone: (410) 768-5988 Fax: (410) 768-5989




License:

3160

Contacts:

Adolescent Program






904686 6/20/2012 6/20/2014General 6/27/2012





(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989



(410) 768-5988 (410) 768-5989


FacilityName: Certified Counseling Services of Centreville, LLC

Address: 114 W. Water St. Centreville MD 21617

Phone: (410) 758-4456 Fax: (410) 810-3025




License:

2855

Contacts:





904458 3/15/2012 3/15/2014General 3/19/2012




Emergency Contact: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


Owner: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


Program Director: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


Sponsor: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


FacilityName: Certified Counseling Services of Centreville, LLC

Address: 204 Banjo Ln Centreville MD 21617

Phone: (410) 758-4456 Fax: (410) 810-3025




License:

284

Contacts:





13387 4/25/2005 4/25/2007Initialsee reg #13472 same information

5/26/2005



13472 4/25/2005 4/25/2007Initialsee reg # 13387 same information

5/26/2005



14634 8/25/2005 5/24/2006Initialtype of certificate does not match dates

10/17/2005



904281 7/25/2011 7/25/2013General 8/3/2011




Emergency Contact: Mavis Jones

410-758-4456 410-708-6610 410-810-3025


Owner: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


Program Director: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


Sponsor: Joseph Jones

410-758-4456 410-708-1635 410-810-3025


FacilityName: Queen Anne's County Department of Health Alcohol and Drug Abuse Services

Address: 205 N. Liberty St. Centreville MD 21617

Phone: (410) 758-1306 Fax: (410) 758-2133




License:

3525

Contacts:

Adolescent Program




Deaf Services

904934 5/1/2013 5/1/2015General 5/3/2013




Emergency Contact: Mr. Gary Fry

(410) 758-1306 (410) 758-4410


Medical Director: Joseph Ciotola, Jr.

410-758-1306


Owner: Mr. Gary Fry

(410) 758-1306 (410) 758-4410


Program Director: Mr. Gary Fry

(410) 758-1306 (410) 758-4410


FacilityName: Queen Anne's County Department of Health Alcohol and Drug Abuse Services

Address: 210 White Pine Ln Stevensville MD 21666

Phone: (410) 758-1306 Fax: (410) 758-2133




License:

2494

Contacts:

Adolescent Program







Deaf Services

904233 6/3/2011 6/3/2013General 6/13/2011





904935 5/1/2013 5/1/2015General 5/3/2013






(410) 758-1306 (410) 758-4410


Medical Director: Mr. Paul Terpeluk, D. O.

410-758-1306


Medical Director: Joseph Ciotola, Jr.

410-758-1306


Owner: Mr. Gary Fry

(410) 758-1306 (410) 758-4410



(410) 758-1306 (410) 758-4410


Sponsor: Mr. Gary Fry

(410) 758-1306 (410) 758-4410


Somerset County

FacilityName: Eastern Correctional Institution- Addictions Treatment Protocol

Address: 30420 Revels Neck Rd. Westover MD 21890

Phone: (410) 845-4000 Fax: (410) 651-9585




License:

2709

Contacts:


Deaf Services

904366 12/1/2011 6/1/2012Initial 12/12/2011




410-585-3726 410-764-5112



410-585-3726 410-764-5112



410-585-3726 410-764-5112


FacilityName: Eastern Shore Psychological Services, LLC

Address: 11559 Somerset Ave. Princess Anne MD 21853

Phone: (410) 651-4200 Fax: (410) 651-4290




License:

3498

Contacts:

Adolescent Program






Deaf Services

904914 3/19/2013 3/19/2015General 4/2/2013





Emergency Contact: Mr. Robert Hooper

410-334-6961 410-641-2888302-383-6449 410-334-6960


Medical Director: Justin Wade, M.D.

410-334-6961


Owner: Mr. Robert Hooper

410-334-6961 410-641-2888302-383-6449 410-334-6960


Program Director: Mr. Robert Hooper

410-334-6961 410-641-2888302-383-6449 410-334-6960


Sponsor: Mr. Robert Hooper

410-334-6961 410-641-2888302-383-6449 410-334-6960


FacilityName: Insights Counseling Services

Address: 12208 Brittingham Ln Princess Anne MD 21853

Phone: (410) 651-3377 Fax: (410) 651-3378




License:

1618

Contacts:

Adolescent Program






903639 7/15/2008 1/15/2009Initial 8/1/2008





903659 9/29/2008 3/29/2009Initial 10/6/2008



Emergency Contact: Ms. Cynthia Hargis [email protected] Alt. PhoneCell Fax:

Owner: Ms. Cynthia Hargis [email protected] Alt. PhoneCell Fax:

Program Director: Ms. Cynthia Hargis [email protected] Alt. PhoneCell Fax:

FacilityName: Somerset Behavioral Health

Address: 8928 Sign Post Rd. Westover MD 21871

Phone: (443) 523-1790 Fax: (410) 651-3189




License:

2453

Contacts:

Adolescent Program







904230 5/13/2011 5/13/2013General 6/7/2011





904981 7/10/2013 7/10/2015General 7/11/2013





Emergency Contact: Ms. Mary Barker

(443) 523-1792 410-651-4144443-235-9340 (410) 651-3189


Owner: Ms. Mary Barker

(443) 523-1792 410-651-4144443-235-9340 (410) 651-3189


Program Director: Ms. Mary Barker

(443) 523-1792 410-651-4144443-235-9340 (410) 651-3189


Sponsor: Ms. Mary Barker

(443) 523-1792 410-651-4144443-235-9340 (410) 651-3189


St. Mary's County

FacilityName: Anchor of Walden

Address: 30007 Business Center Dr. Charlotte Hall MD 20622

Phone: (301) 997-1300 Fax: (301) 290-0280




License:

2082

Contacts:

Adolescent Program




903972 5/17/2010 5/17/2012General 5/17/2010









904527 5/1/2012 5/1/2014General 5/2/2012









Emergency Contact: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Owner: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Program Director: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Sponsor: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


FacilityName: Anchor of Walden

Address: 30007 Business Center Dr. Charlotte Hall MD 20622

Phone: (301) 997-1300 Fax: (301) 290-0280




License:

2261

Contacts:

Adolescent Program




904081 5/17/2010 5/17/2012General 10/5/2010









Emergency Contact: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Owner: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Program Director: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


Sponsor: Ms. Katheen O'Day O'Brien

(301) 997-1300 (301) 997-1321


FacilityName: Certified Counseling Services Inc.

Address: 29190 Three Notch Rd., Suite 2 Mechanicsville MD 20659

Phone: (301) 884-8700 Fax: (301) 884-8600




License:

3145

Contacts:




904677 6/20/2012 6/20/2014General 6/27/2012




Emergency Contact: Mr. Karl HonkalaPhone Alt. PhoneCell Fax:

Owner: Mr. Karl HonkalaPhone Alt. PhoneCell Fax:

Program Director: Mr. Karl HonkalaPhone Alt. PhoneCell Fax:

Sponsor: Mr. Karl HonkalaPhone Alt. PhoneCell Fax:

FacilityName: Compass of Walden Sierra

Address: 44863 St. Andrew's Church Rd. California MD 20619

Phone: (301) 997-1300 Fax: (301) 863-3368




License:

2084

Contacts:




903973 5/18/2010 5/18/2012General 5/18/2010



904529 5/1/2012 5/1/2014General 5/2/2012




(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321


FacilityName: Outlook Outpatient Services, LLC

Address: 21030 Point Lookout Rd. #10 Callaway MD 20620

Phone: (240) 237-8325 Fax: (240) 237-8439




License:

3865

Contacts:

Adolescent Program






905156 6/10/2014 12/10/2014Initial 6/26/2014






Emergency Contact: Jason David

240-237-8325 301-401-2047 240-237-8439


Owner: Jason David

240-237-8325 301-401-2047 240-237-8439


Program Director: Jason David

240-237-8325 301-401-2047 240-237-8439


FacilityName: Outlook Recovery

Address: 21030 Point Lookout Rd. #10 Callaway MD 20620

Phone: (240) 237-8325 Fax: (240) 237-8439




License:

3863

Contacts:






905155 6/10/2014 12/10/2014Initial 6/26/2014




OMT.D -- Detox 5 -

Emergency Contact: Jason David

240-237-8325 301-401-2047 240-237-8439


Medical Director: Dr. Scott LaStrapes

301 762-5300


Owner: Jason David

240-237-8325 301-401-2047 240-237-8439


Program Director: Jason David

240-237-8325 301-401-2047 240-237-8439


Sponsor: Jason David

240-237-8325 301-401-2047 240-237-8439


FacilityName: Walden Jail-Based Treatment Program

Address: 41880 Baldridge St. Leonardtown MD 20650

Phone: (301) 475-4200 Fax: (301) 997-1321




License:

2102

Contacts:




903984 5/13/2010 5/13/2012General 6/4/2010




904532 5/1/2012 5/1/2014General 5/2/2012





(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321


FacilityName: Walden Outpatient Treatment Program

Address: 21770 F.D.R. Blvd. Lexington Park MD 20653

Phone: (301) 997-1300 Fax: (301) 866-9189




License:

2092

Contacts:

Adolescent Program




904530 5/1/2012 5/1/2014General 5/2/2012






(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321


FacilityName: Walden Outpatient Treatment Program

Address: 44867 St. Andrews Church Rd. California MD 20619

Phone: (301) 997-1300 Fax: (301) 863-3368




License:

2100

Contacts:

Adolescent Program




904001 5/13/2010 5/13/2012General 6/2/2010





904531 5/1/2012 5/1/2014General 5/2/2012






(301) 997-1300 (301) 997-1321


Owner: Betsy Linhart-Cooksey

(301) 997-1300 (301) 863-3368


Program Director: Betsy Linhart-Cooksey

(301) 997-1300 (301) 863-3368


FacilityName: Walden Sierra, Inc.

Address: 21803-A Three Notch Rd. Lexington Park MD 20653

Phone: (301) 866-0067 Fax: (301) 866-9189




License:

820

Contacts:

903214 3/1/2007 3/1/2009General 3/14/2007




(301) 997-1300 (301) 997-1321


FacilityName: Walden Sierra, Inc. Outpatient Treatment Program

Address: 44871 St. Andrews Church Rd. California MD 20619

Phone: (301) 863-6670 Fax: (301) 863-3368




License:

1226

Contacts:


903408 10/23/2007 10/23/2009General 11/7/2007




(301) 997-1300 (301) 997-1321



(301) 997-1300 (301) 997-1321


Program Director: Mr. Robert Prince

301-997-1300 301-997-1301 301-997-1321


Talbot County


Address: 29520 Canvasback Dr. Easton MD 21601

Phone: (410) 822-5007 Fax: (410) 822-5569




License:

2951

Contacts:

Adolescent Program






Deaf Services

904520 4/23/2012 10/23/2012Initial 4/25/2012





904915 3/26/2013 3/26/2015General 4/2/2013






410-334-6961 410-641-2888302-383-6449 410-334-6960


Medical Director: Khalid Ahmed, M.D.

410-334-6961


Owner: Kathryn Seifert, Ph.D.

410-334-6961 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960


Sponsor: Kathryn Seifert, Ph.D.

410-334-6961 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960


FacilityName: Latino Counseling Services

Address: 300 Talbot St. Easton MD 21601

Phone: (410) 829-1080 Fax: (410) 819-6559




License:

3297

Contacts:




904774 9/13/2012 3/13/2013Initial 9/25/2012




904988 8/6/2013 8/6/2015General 8/9/2013




Emergency Contact: Mr. James BrownPhone Alt. PhoneCell Fax:

Owner: Mr. James BrownPhone Alt. PhoneCell Fax:

Program Director: Mr. James BrownPhone Alt. PhoneCell Fax:

Sponsor: Mr. James BrownPhone Alt. PhoneCell Fax:

FacilityName: Maryland Alcohol & Drug Education, LLC

Address: 331 N. Aurora St. Easton MD 21601

Phone: (410) 476-7480 Fax:




License:

2835

Contacts:





904446 3/6/2012 3/6/2014General 3/7/2012



Emergency Contact: Lisa Harris-Newman

410-476-7480 443-239-0819


Owner: Lisa Harris-Newman

410-476-7480 443-239-0819


Program Director: Lisa Harris-Newman

410-476-7480 443-239-0819


Sponsor: Lisa Harris-Newman

410-476-7480 443-239-0819


FacilityName: Shore Behavioral Health Services

Address: 219 S. Washington St. Easton MD 21601

Phone: (410) 822-1000 Fax: (410) 819-8736




License:

2578

Contacts:



904285 7/15/2011 7/15/2013General 8/4/2011




904984 6/26/2013 6/26/2015General 7/29/2013




Emergency Contact: Frank Ford

(410) 822-1000


Medical Director: Dr. Alan AndersonPhone Alt. PhoneCell Fax:

Owner: Sharon Dundon

(410) 822-1000 (410) 819-8736


Program Director: Sharon Dundon

(410) 822-1000 (410) 819-8736


FacilityName: Talbot County Addictions Program

Address: 100 S. Hanson St. Easton MD 21601

Phone: (410) 819-4706 Fax: (410) 819-5691




License:

1634

Contacts:

Adolescent Program




DWI Education

Deaf Services

903058 7/25/2006 7/25/2008General 8/15/2006



903648 8/12/2008 8/12/2010General 8/22/2008





905043 10/4/2013 10/4/2015General 9/12/2013





Emergency Contact: Ms. Katherine Foster, RN, MS

(410) 819-5608 (410) 819-5690

[email protected]


Medical Director: John LaFerla, MD, MPH

410-819-5659 410-819-4703


Owner: Ms. Kathleen Foster, RN, MS

410-819-5608 410-819-4703



(410) 758-1306 (410) 758-4410


SAMIS Liaison: Deborah Businsky

(410) 643-7773


Sponsor: Ms. Kathleen Foster, RN, MS

410-819-5608 410-819-4703


FacilityName: Talbot County Addictions STAR Program

Address: 115 W. Dover St. Easton MD 21601

Phone: (410) 819-4706 Fax: (410) 819-5691




License:

3689

Contacts:





905042 10/4/2013 10/4/2015General 9/12/2013




(410) 758-1306 (410) 758-4410


Owner: Ms. Katherine Foster, RN, MS

(410) 819-5608 (410) 819-5690



(410) 758-1306 (410) 758-4410


Sponsor: Ms. Katherine Foster, RN, MS

(410) 819-5608 (410) 819-5690


FacilityName: Talbot County Drug and Alcohol Program

Address: 301 Bay St. Suite 307 Easton MD 21601

Phone: (410) 819-5900 Fax: (410) 819-0591




License:

563

Contacts:




5477 7/10/2002 7/10/2004General 5/30/2005




11170 7/23/2004 7/23/2006General 6/1/2005




903406 9/20/2007 3/20/2008Initial 10/24/2007



Emergency Contact: Mark Carpenter, Psy D.

(410) 819-5900 (410) 819-0591


Medical Director: John LaFela, MD,MPHPhone Alt. PhoneCell Fax:

Owner: Ms. Kathleen Foster, RN, MS

410-819-5608 410-819-4703


Program Director: Mark Carpenter, Psy D.

(410) 819-5900 (410) 819-0591


Sponsor: Ms. Kathleen Foster, RN, MS

410-819-5608 410-819-4703


Washington County

FacilityName: Alternative Drug and Alcohol Counseling (ADAC)

Address: 370 Virginia Ave. Hagerstown MD 21740

Phone: (301) 766-0065 Fax: (301) 766-9594




License:

3664

Contacts:

Adolescent Program






905029 8/27/2013 8/27/2015General 9/3/2013




Emergency Contact: Ms. Deanna BaileyPhone Alt. PhoneCell Fax:

Owner: Ms. Deanna BaileyPhone Alt. PhoneCell Fax:

Program Director: Mr. James ReganPhone Alt. PhoneCell Fax:

Sponsor: Ms. Deanna BaileyPhone Alt. PhoneCell Fax:

FacilityName: CAMEO House

Address: 750 Hospital Way Hagerstown MD 21742

Phone: (240) 313-3322 Fax: (301) 790-1314




License:

3210

Contacts:

Adolescent Program




904717 7/11/2012 7/11/2014General 7/17/2012





904772 9/12/2012 9/12/2014General 9/18/2012




Emergency Contact: Ms. Rebecca Hogamier

(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Owner: Ms. Rebecca Hogamier

(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Program Director: Ms. Rebecca Hogamier

(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


FacilityName: CAMEO House


Phone: (240) 313-3322 Fax: (240) 420-1788




License:

3212

Contacts:





904718 7/11/2012 7/11/2014General 7/17/2012




(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



Address: 228 E. Washington St. Hagerstown MD 21740

Phone: (301) 745-6687 Fax: (301) 739-0041




License:

2633

Contacts:



904319 9/12/2011 9/12/2013General 10/26/2011




905060 10/1/2013 10/1/2015General 10/2/2013




Emergency Contact: Mr. Lawrence Stouter

(301) 745-6687 x207 (301) 631-1384 (301) 739-0041


Owner: Mr. Lawrence Stouter

(301) 745-6687 x207 (301) 631-1384 (301) 739-0041


Program Director: Mr. Lawrence Stouter

(301) 745-6687 x207 (301) 631-1384 (301) 739-0041


Sponsor: Mr. Lawrence Stouter

(301) 745-6687 x207 (301) 631-1384 (301) 739-0041


FacilityName: Catoctin Summit Adolescent Program

Address: 5980 Cullen Dr. Sabillasville MD 21780

Phone: (240) 420-5400 Fax: (301) 791-4501




License:

3206

Contacts:

Adolescent Program


904715 7/11/2012 7/11/2014General 7/17/2012




(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


FacilityName: Catoctin Summit Adolescent Program


Phone: (301) 791-4665 Fax: (301) 791-4501




License:

104

Contacts:


12460 11/18/2004 11/18/2006General



FacilityName: Gaudenzia, Inc. Maryland Correctional Training Center Therapeutic Community

Address: 18800 Roxbury Rd. Hagerstown MD 21746

Phone: (240) 420-1482 Fax: (240) 420-1575




License:

2449

Contacts:



903544 1/23/2008 7/23/2008Initial 3/7/2008



903736 4/27/2009 4/27/2011General 6/17/2009



903741 4/27/2009 4/27/2011General 6/17/2009



904207 4/11/2011 4/11/2013General 4/26/2011



904931 4/25/2013 4/25/2015General 4/26/2013




(410) 367-5551 (443) 878-4231 (410) 781-0415


Owner: Sara Monnen

(410) 367-5551 (443) 878-4231 (410) 781-0415



(410) 367-5551 (443) 878-4231 (410) 781-0415


FacilityName: Hagerstown Treatment Center

Address: 2053 Day Rd. Hagerstown MD 21740

Phone: (301) 714-0837 Fax: (301) 714-2931




License:

3451

Contacts:





904883 2/12/2013 2/12/2015General 2/13/2013




Emergency Contact: Ms. Pamela Collins

(301) 714-0837 (240) 818-0301(301) 730-0133 (301) 714-0837


Medical Director: Mark Jameson, MD

(240) 313-3230 (301) 573-7121 (240) 313-3301


Owner: Mr. Christopher Hassan

407-351-7080 407-581-5154


Program Director: Ms. Pamela Collins

(301) 714-0837 (240) 818-0301(301) 730-0133 (301) 714-0837


Sponsor: Mr. Christopher Hassan

407-351-7080 407-581-5154


FacilityName: Hagerstown Treatment Center

Address: 16110Everly Rd. Hagerstown MD 21740

Phone: (301) 714-0837 Fax: (301) 714-2931




License:

3829

Contacts:





905134 3/24/2014 3/24/2016General 3/31/2014




Emergency Contact: Ms. Pamela Jamtgaard, MSLCADC

(301) 714-0837 (240) 818-0301(301) 730-0133 (301) 730-0133

[email protected]



(240) 313-3230 (301) 573-7121 (240) 313-3301


Owner: Mr. Paul Roberts, D.O.

407-351-7080x102 407-351-6930


Program Director: Ms. Pamela Jamtgaard, MSLCADC

(301) 714-0837 (240) 818-0301(301) 730-0133 (301) 730-0133

[email protected]


Sponsor: Mr. Paul Roberts, D.O.

407-351-7080x102 407-351-6930


FacilityName: Maryland Correctional Institution Hagerstown- Addictions Treatment Protocol


Phone: (240) 420-1000 Fax: (301) 790-4939




License:

2715

Contacts:


Deaf Services

904369 12/1/2011 6/1/2012Initial 12/12/2011




410-585-3726 410-764-5112



410-585-3726 410-764-5112



410-585-3726 410-764-5112


FacilityName: Maryland Correctional Training Center- Addictions Treatment Protocol


Phone: (240) 420-8574 Fax: (301) 797-8574




License:

2707

Contacts:


Deaf Services

904365 12/1/2011 6/1/2012Initial 12/12/2011




410-585-3726 410-764-5112



410-585-3726 410-764-5112



410-585-3726 410-764-5112


FacilityName: Phoenix Health Center

Address: 217 E. Antietam St. Hagerstown MD 21740

Phone: (240) 420-0000 Fax: (240) 420-0002




License:

2778

Contacts:







904411 1/9/2012 1/9/2014General 1/19/2012




904412 1/9/2012 7/9/2012Initial 1/19/2012



905119 1/7/2014 7/7/2014Provisional 1/10/2014




Emergency Contact: Ramsay Farah, MD

301-766-0033 240-420-0002


Emergency Contact: J. Farah, MD

240-420-0000 240-420-0002


Medical Director: J. Farah, MD

240-420-0000 240-420-0002


Owner: J. Farah, MD

240-420-0000 240-420-0002


Program Director: Lauretha Vargas

240-420-0000 240-420-0002


Sponsor: Elizabeth Farah

240-420-0000 240-420-0002


FacilityName: Roxbury Correctional Institution- Addictions Treatment Protocol


Phone: (240) 420-3000 Fax: (301) 797-0795




License:

2711

Contacts:


Deaf Services

904367 12/1/2011 6/1/2012Initial 12/12/2011




410-585-3726 410-764-5112



410-585-3726 410-764-5112



410-585-3726 410-764-5112


FacilityName: The Aslan Center of Maryland, LLC

Address: 12841 Salem Ave. Hagerstown MD 21740

Phone: (240) 347-4888 Fax: (240) 347-4889




License:

3185

Contacts:




904700 6/21/2012 12/21/2012Initial 7/11/2012




904885 2/21/2013 2/21/2015General 2/26/2013




Emergency Contact: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

Emergency Contact: Rev. Cristotoro Padula

(240) 347-4888 (240) 520-6429(240) 520-6429 (240) 347-4889


Owner: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

Program Director: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

Sponsor: Ms. Janine ReynoldsPhone Alt. PhoneCell Fax:

FacilityName: The W House Foundation, Inc.

Address: 519 N. Locust St. Hagerstown MD 21740

Phone: (301) 791-7826 Fax: (301) 791-1266




License:

3214

Contacts:



904719 7/11/2012 7/11/2014General 7/17/2012





Emergency Contact: Ms. Erin Tack

(301) 791-7826 (301) 791-1266


Owner: Ms. Erin Tack

(301) 791-7826 (301) 791-1266


Program Director: Ms. Erin Tack

(301) 791-7826 (301) 791-1266


Sponsor: Ms. Erin Tack

(301) 791-7826 (301) 791-1266


FacilityName: Turning Point a Program of Way Station

Address: 328 N. Potomac St. Hagerstown MD 21740

Phone: (301) 733-6063 Fax: (301) 733-6220




License:

3122

Contacts:




904661 6/11/2012 12/11/2012Initial 6/20/2012



904826 11/9/2012 11/9/2014General 11/13/2012




301-733-6063 240-422-3556240-409-9339 301-694-9932


Owner: Anna Rea

301-662-0099 301-694-9932



301-662-0099 301-694-9932


Sponsor: Anna Rea

301-662-0099 301-694-9932


FacilityName: Washington County Health Department Addiction and Mental Health Services Outpatient Adolescent - East


Phone: (301) 791-4665 Fax: (301) 791-4501




License:

225

Contacts:

Adolescent Program



Deaf Services

14315 7/18/2005 10/3/2005Generalreg. 14315 and 14316 returned: 2 certificates same address, different

levels of care, exp. Date less than 3 months, spelling error.

9/2/2005




14316 7/18/2005 10/3/2005Generalreg. 14315 and 14315 returned: 2 certificates same address, exp. Date

less than 3 months, spelling errors.

9/2/2005




14897 10/3/2005 10/3/2007Generalcorrected cert was signed and mailed

12/15/2005




903336 11/18/2006 11/18/2008General 8/16/2007




Medical Director: Mark Jamison, M.D.

240-313-3230



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Program Director: Mark Jamison, M.D.

240-313-3230


FacilityName: Washington County Health Department Jail Substance Abuse Program

Address: 500 Western Maryland Parkway Hagerstown MD 21740

Phone: (240) 313-2161 Fax: (301) 791-2252




License:

3216

Contacts:






Deaf Services

904720 7/11/2012 7/11/2014General 7/17/2012





(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3230 (301) 573-7121 (240) 313-3301



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


FacilityName: Washington County Health Department Outpatient - Central

Address: 13114 Pennsylvania Ave. Hagerstown MD 21742

Phone: (240) 313-3310 Fax: (240) 313-3239




License:

3208

Contacts:

Adolescent Program




904716 7/11/2012 7/11/2014General 7/17/2012






(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


FacilityName: Washington County Health Department Outpatient East


Phone: (240) 420-5400 Fax: (301) 791-4501




License:

3204

Contacts:

Adolescent Program




Deaf Services

904714 7/11/2012 7/11/2014General 7/17/2012





(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Medical Director: Mark Jamison, M.D.

240-313-3230



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Program Director: Mark Jamison, M.D.

240-313-3230


FacilityName: Washington County Hospital Association Behavioral Health Care

Address: 24 N. Walnut St. Suite 300 Hagerstown MD 21740

Phone: (301) 766-7600 Fax: (301) 766-7702




License:

659

Contacts:


FacilityName: Wells House East

Address: 124-126 E. Balt. St. Hagerstown MD 21740

Phone: (301) 739-7748 Fax: (301) 739-4001




License:

2299

Contacts:



904111 11/19/2010 11/19/2012General 11/29/2010



904113 11/19/2010 5/19/2011Initial 11/29/2010







904842 11/20/2012 11/20/2014General 11/29/2012







Emergency Contact: Mr. Charles Mooneyhan

(301) 739-7748 (301) 992-3944 (301) 739-4001


Owner: Mr. Charles Mooneyhan

(301) 739-7748 (301) 992-3944 (301) 739-4001


Program Director: Mr. Charles Mooneyhan

(301) 739-7748 (301) 992-3944 (301) 739-4001


Sponsor: Mr. Charles Mooneyhan

(301) 739-7748 (301) 992-3944 (301) 739-4001


FacilityName: Wells House North

Address: 324-326 N. Locust St. Hagerstown MD 21740

Phone: (301) 739-5141 Fax: (301) 739-7194




License:

2305

Contacts:



904115 11/19/2010 11/19/2012General 11/29/2010





904117 11/19/2010 5/19/2011Initial 11/29/2010





904837 11/20/2012 11/20/2014General 11/29/2012








(301) 739-7748 (301) 992-3944 (301) 739-4001


Medical Director: Mr. Martin Gallagher

301-739-7748 301-739-4001



(301) 739-7748 (301) 992-3944 (301) 739-4001


Program Director: Mr. Charles Mooneyhan

(301) 739-7748 (301) 992-3944 (301) 739-4001



(301) 739-7748 (301) 992-3944 (301) 739-4001


FacilityName: Wells House Outpatient Center

Address: 128-130 E. Balt. St. Hagerstown MD 21740

Phone: (301) 739-7775 Fax: (301) 739-5008




License:

3508

Contacts:




904921 4/8/2013 4/8/2015General 4/10/2013






(301) 739-7748 (301) 992-3944 (301) 739-4001



(301) 739-7748 (301) 992-3944 (301) 739-4001


Program Director: Diane Swan, LCPC

301-739-7775 301-739-5008



(301) 739-7748 (301) 992-3944 (301) 739-4001


FacilityName: WITS


Phone: (240) 313-3322 Fax: (301) 790-1314




License:

3292

Contacts:





904771 9/12/2012 9/12/2014General 9/18/2012




(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


FacilityName: WITS


Phone: (240) 313-3322 Fax: (301) 790-1314




License:

3606

Contacts:





904987 7/31/2013 7/31/2015General 8/5/2013




(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239



(240) 313-3283 (240) 313-3265(301) 573-3038 (240) 313-3239


Wicomico County

FacilityName: Addictions Associates

Address: 323 Broad St. Salisbury MD 21801

Phone: (410) 548-7500 Fax: (410) 548-7544




License:

897

Contacts:

Adolescent Program




DWI Education


903049 5/23/2006 5/23/2008General 8/14/2006




903650 6/25/2008 6/25/2010General 8/25/2008





904665 6/19/2012 6/19/2014General 6/20/2012





Emergency Contact: Ms. Karen Goyer

410-548-7500 410-713-5311410-713-5311 410-548-7544


Owner: Ms. Lisa Cimetta

410-548-7500 (302) 858-2561 410-548-7544


Program Director: Ms. Karen Goyer

410-548-7500 410-713-5311410-713-5311 410-548-7544


SAMIS Liaison: Ms. Lisa Cimetta

410-548-7500 (302) 858-2561 410-548-7544


Sponsor: Ms. Lisa Cimetta

410-548-7500 (302) 858-2561 410-548-7544


FacilityName: Community Behavioral Health

Address: 2013 Northwood Dr., Suite 1 Salisbury MD 21801

Phone: (410) 334-6687 Fax: (410) 334-6700




License:

3557

Contacts:





904955 5/9/2013 11/9/2013Initial 5/28/2013




Emergency Contact: Tina Carter, LCPC

410-334-6687 443-880-0485443-994-1930 410-334-6700



(410) 677-0202 (410) 677-0303


Owner: Niru Jani, M.D.

410-334-6687 410-334-6700



410-334-6687 443-880-0485443-994-1930 410-334-6700


Sponsor: Niru Jani, M.D.

410-334-6687 410-334-6700


FacilityName: Community Behavioral Health

Address: 821 Eastern Shore Dr. Salisbury MD 21804

Phone: (410) 344-6687 Fax: (410) 334-6700




License:

3692

Contacts:





Deaf Services

905045 9/13/2013 3/13/2014Initial 9/12/2013




Emergency Contact: Niranjan Jani, M.D.

410-334-6687 410-334-6700



(410) 677-0202 (410) 677-0303


Owner: Niranjan Jani, M.D.

410-334-6687 410-334-6700



410-334-6687 443-880-0485443-994-1930 410-334-6700


Sponsor: Niranjan Jani, M.D.

410-334-6687 410-334-6700


FacilityName: Counseling Associates/Gateway Behavorial Health Division

Address: 109 High St. Salisbury MD 21801

Phone: (410) 546-1692 Fax: (410) 548-9056




License:

156

Contacts:

DWI Education

7047 3/5/2003 3/5/2005General




13312 3/18/2005 3/18/2007General 5/25/2005




903321 6/24/2007 6/24/2009General 7/24/2007



DWI Program Director: Mr. James Kennedy

(410) 430-6335 (410) 219-9000


Emergency Contact: Ms. Anne Bass, LCSW-C

410-546-1692 410-548-9056


Owner: Ms. Anne Bass, LCSW-C

410-546-1692 410-548-9056


Program Director: Mr. James Kennedy

(410) 430-6335 (410) 219-9000


Sponsor: Ms. Anne Bass, LCSW-C

410-546-1692 410-548-9056


FacilityName: Delmarva Counseling Center

Address: 28 E State St. Delmar MD 21875

Phone: (410) 896-3995 Fax: (410) 896-2825




License:

690

Contacts:

Adolescent Program







903030 1/23/2006 1/23/2008General 8/3/2006



904614 5/16/2012 5/16/2014General 5/24/2012



904615 5/16/2012 11/16/2012Initial 5/24/2012




Emergency Contact: Dr. Beatrice HamiltonPhone Alt. PhoneCell Fax:

Owner: Dr. Beatrice HamiltonPhone Alt. PhoneCell Fax:

Program Director: Dr. Beatrice HamiltonPhone Alt. PhoneCell Fax:

SAMIS Liaison: Dr. Beatrice HamiltonPhone Alt. PhoneCell Fax:

Sponsor: Dr. Beatrice HamiltonPhone Alt. PhoneCell Fax:


Address: 2336 Goddard Parkway Salisbury MD 21804

Phone: (410) 334-6961 Fax: (410) 334-6960



License:

2949

Contacts:

Adolescent Program



904519 4/23/2012 10/23/2012Initial 4/25/2012




904660 4/23/2012 10/23/2012Initial 6/20/2012





904916 3/26/2013 3/26/2015General 4/2/2013






410-334-6961 410-641-2888302-383-6449 410-334-6960


Medical Director: Khalid Ahmed, M.D.

410-334-6961


Medical Director: Justin Wade, M.D.

410-334-6961


Owner: Kathryn Seifert, Ph.D.

410-334-6961 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960


Sponsor: Kathryn Seifert, Ph.D.

410-334-6961 410-334-6960



410-334-6961 410-641-2888302-383-6449 410-334-6960






Deaf Services

FacilityName: Hudson Health Services

Address: 111 Baptist St. Salisbury MD 21801

Phone: (410) 219-9000 Fax: (410) 742-7048




License:

691

Contacts:

903293 6/11/2007 12/11/2007Initial 7/2/2007




Emergency Contact: Mr. James Kennedy

(410) 430-6335 (410) 219-9000


Medical Director: Mr. James Isaacs

410-219-9000 410-430-6335 410-742-3512



(410) 430-6335 (410) 219-9000


SAMIS Liaison: Ms. Paula BaylesPhone Alt. PhoneCell Fax:

FacilityName: Hudson Health Services, Inc. (Willis Hudson Center)

Address: 1506 Harting Dr. Salisbury MD 21802

Phone: (410) 219-9000 Fax: (410) 742-3512




License:

3202

Contacts:





904713 7/11/2012 7/11/2014General 7/13/2012






Emergency Contact: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828



410-219-9000 410-430-6335 410-742-3512


Owner: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828


Program Director: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828


FacilityName: Hudson Health Services, Inc.- Broad Street Halfway House


Phone: (410) 736-5420 Fax:




License:

910

Contacts:

Adolescent Program


903133 9/27/2006 9/27/2008General 9/28/2006




410-219-9000 410-430-6335 410-742-3512


Owner: Romame Phillips

(410) 251-0622 (410) 726-5420


Program Director: Romame Phillips

(410) 251-0622 (410) 726-5420


FacilityName: Hudson Health Services, Inc.- Broad Street Halfway House


Phone: (410) 219-9000 Fax: (410) 742-3512




License:

3224

Contacts:

Adolescent Program





904728 7/20/2012 7/20/2014General 7/25/2012



Emergency Contact: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828



410-219-9000 410-430-6335 410-742-3512


Owner: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828


Program Director: Ms. Pam Fusco

410-219-9000 443-254-3334443-880-5828


FacilityName: J.David Collins and Associates, LLC

Address: 540 Riverside Dr., Suite 8 Salisbury MD 21801

Phone: (410) 548-3333 Fax: (410) 548-3341




License:

2487

Contacts:

Adolescent Program






904229 5/21/2011 11/21/2011Initial 6/7/2011





905140 3/31/2014 3/31/2016General 4/2/2014





Emergency Contact: J.David Collins

410-548-3333 443-523-2594 410-548-3341


Emergency Contact: Jack Powell, LCSW-C, LCADC

410-548-3333 410-443-6718 410-548-3341

[email protected]


Owner: J.David Collins

410-548-3333 443-523-2594 410-548-3341


Program Director: J.David Collins

410-548-3333 443-523-2594 410-548-3341


Sponsor: J.David Collins

410-548-3333 443-523-2594 410-548-3341


FacilityName: Maple Shade Substance Abuse Program

Address: 23704 Ocean Gateway Mardela Springs MD 21837

Phone: (410) 677-0202 Fax: (410) 677-0303




License:

731

Contacts:

Adolescent Program


903296 6/12/2007 6/12/2009General 7/3/2007



Emergency Contact: Mr. William Pokorny, LCSW-C

(410) 677-0202 (410) 677-0303

[email protected]



(410) 677-0202 (410) 677-0303


Owner: Mr. William Pokorny, LCSW-C

(410) 677-0202 (410) 677-0303


Program Director: Mr. William Pokorny, LCSW-C

(410) 677-0202 (410) 677-0303

[email protected]


Sponsor: Mr. William Pokorny, LCSW-C

(410) 677-0202 (410) 677-0303


FacilityName: Peninsula Addiction Services

Address: 104 W. Market St. Salisbury MD 21801

Phone: (410) 860-2673 Fax: (410) 860-0450




License:

694

Contacts:

Adolescent Program





903096 5/12/2006 11/12/2006Initial 9/13/2006



903349 8/2/2007 8/2/2009General 8/27/2007





Level II.5 -- Partial Hospitalization - 10

904667 6/21/2012 6/21/2014General 6/27/2012




Level II.5 -- Partial Hospitalization - 10


Emergency Contact: Ms. Linda McClung

(410) 860-2673 (410) 726-6344 (410) 860-0450


Medical Director: Elgenia Bautita, M.D.

410-860- 2673 410-726-6344


Owner: Mr. Michael Finegan, Ph.D.

(410) 860-2673


Program Director: Ms. Linda McClung

(410) 860-2673 (410) 726-6344 (410) 860-0450


SAMIS Liaison: Ms. Kathy StempelPhone Alt. PhoneCell Fax:

Sponsor: Mr. Michael Finghera, Ph.D. Phone Alt. PhoneCell Fax:

FacilityName: Second Wind, Inc.

Address: 309 Newton St. Salisbury MD 21801

Phone: (410) 749-8038 Fax: (410) 749-8040




License:

1528

Contacts:



10760 5/24/2004 5/24/2006General 5/27/2005



903595 5/30/2008 5/30/2010General 6/9/2008



904666 6/19/2012 6/19/2014General 6/20/2012



Emergency Contact: Jeffrey McPherson

410-835-2699 410-422-7140 410-749-8040


Emergency Contact: Mr. Jim Freeman

410-749-8038 410-749-8040


Owner: Second WindPhone Alt. PhoneCell Fax:

Owner: Mr. Jim Freeman

410-749-8038 410-749-8040


Program Director: Mr. Jim Freeman

410-749-8038 410-749-8040


Sponsor: Mr. Jim Freeman

410-749-8038 410-749-8040


FacilityName: Warwick Manor Outpatient Program

Address: 220 A E. Main St. Salisbury MD 21801

Phone: (800) 344-6423 Fax: (410) 860-8511




License:

226

Contacts:






10414 4/1/2004 4/1/2006General





903693 3/3/2009 9/3/2009Provisional 3/10/2009



904670 6/22/2012 6/22/2014General 6/27/2012






800-344-6423 410-943-1064443-521-9976 410-943-3976



800-344-6423 410-943-0667


Owner: Lloyd Fuhrman

800-344-6423 410-943-3976


Program Director: Amy Ginnavan

800-344-6423 410-943-3976


FacilityName: White Flint Recovery Eastern Shore, Inc.

Address: 130 E. Main St. Salisbury MD 21801

Phone: (410) 749-6422 Fax: (410) 749-6871




License:

3078

Contacts:






904617 5/16/2012 5/16/2014General 5/24/2012




904619 5/16/2012 11/16/2012Initial 5/24/2012



Emergency Contact: Ms. Judith Whaley

410-749-6422 443-783-2277 410-749-6422


Owner: Ms. Judith Whaley

410-749-6422 443-783-2277 410-749-6422


Program Director: Ms. Judith Whaley

410-749-6422 443-783-2277 410-749-6422


Sponsor: Ms. Judith Whaley

410-749-6422 443-783-2277 410-749-6422



Address: 130 E. Main St., First Floor Salisbury MD 21801

Phone: (410) 749-6422 Fax: (410) 749-7861




License:

3472

Contacts:






904898 3/5/2013 3/5/2015General 3/7/2013



Emergency Contact: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Owner: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Program Director: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Sponsor: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


FacilityName: Wicomico County Health Department Addiction Jail Services

Address: 411 Naylor Mill Rd. Salisbury MD 21801

Phone: (410) 742-3784 Fax: (410) 543-6680




License:

3068

Contacts:







Deaf Services

904610 5/16/2012 5/16/2014General 5/21/2012



Emergency Contact: Ms. Heather Brown

(410) 742-3784 (410) 430-1481 (410) 543-6680


Medical Director: Dr. E. BaustiaPhone Alt. PhoneCell Fax:

Owner: Ms. Lori BrewsterPhone Alt. PhoneCell Fax:

Program Director: Ms. Heather Brown

(410) 742-3784 (410) 430-1481 (410) 543-6680


Sponsor: Ms. Lori BrewsterPhone Alt. PhoneCell Fax:

FacilityName: Wicomico County Health Department Addictions Services

Address: 108 E. Main St. Salisbury MD 21801

Phone: (410) 742-3784 Fax: (410) 543-6680



License:

773

Contacts:

Adolescent Program

11757 10/1/2004 10/1/2006General






15862 10/1/2004 10/1/2006General 4/14/2006






903148 9/27/2006 9/27/2008General 10/25/2006





903815 10/23/2009 10/23/2011General 11/12/2009





904608 5/16/2012 5/16/2014General 5/17/2012





Emergency Contact: Brandy Wink

410-543-6930 410-543-6690


Medical Director: Dr. Eugene Baustista

410-742-3784 410-543-6680


Owner: Ms. Lori BrewsterPhone Alt. PhoneCell Fax:

Program Director: Ms. Heather Brown

(410) 742-3784 (410) 430-1481 (410) 543-6680


Sponsor: Ms. Lori BrewsterPhone Alt. PhoneCell Fax:








Deaf Services

FacilityName: Worcester County Health Department

Address: 1001 Lake St. Salisbury MD 21801

Phone: (410) 742-3460 Fax: (410) 742-5810




License:

1532

Contacts:





Deaf Services

903597 5/29/2008 5/29/2010General 6/9/2008




Emergency Contact: Ms. Doris Moxley

(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Medical Director: Gergana Dimitrova, MD

410-629-0164 410-629-0185


Owner: Worcester County Health Dept

410-632-1100 410-726-2792 410-632-4933


Program Director: Ms. Doris Moxley

(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Worcester County

FacilityName: Berlin Health Center

Address: 9730 Healthway Dr. Berlin MD 21811

Phone: (410) 632-1100 Fax: (410) 632-4933




License:

2698

Contacts:





Deaf Services

904360 11/29/2011 11/29/2013General 11/30/2011




(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Medical Director: Gergana Dimitrova, MD

410-629-0164 410-629-0185



410-632-1100 410-726-2792 410-632-4933



(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


FacilityName: Center 4 Clean Start (C4CS)

Address: 926 Snow Hill Rd. Salisbury MD 21802

Phone: (410) 632-1100 Fax: (410) 632-1119




License:

2721

Contacts:







Deaf Services

904372 11/29/2011 11/29/2013General 12/12/2011





(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Owner: Ms. Doris Moxley

(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


FacilityName: Counseling Associates/Gateway Behavorial Health Division

Address: 10031 Old Ocean City Boulevard Suite 106 Berlin MD 21811

Phone: (410) 641-3121 Fax: (410) 641-4496




License:

155

Contacts:

13313 3/18/2005 3/18/2007General 5/25/2005





(410) 430-6335 (410) 219-9000


FacilityName: S & S Counseling

Address: 11033 Cathell Rd. Berlin MD 21811

Phone: (410) 574-1850 Fax: (410) 335-2324




License:

3650

Contacts:





905020 8/22/2013 8/22/2015General 9/3/2013




Emergency Contact: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:

Owner: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:

Program Director: Ms. Deborah Edmonds

410-574-1850 410-335-2355


Sponsor: Ms. Nancy ShipleyPhone Alt. PhoneCell Fax:


Address: 6500 B Coastal Highway Ocean City MD 21842

Phone: (410) 524-0902 Fax: (410) 524-0903




License:

3087

Contacts:






904627 5/16/2012 5/16/2014General 5/29/2012




904650 5/16/2012 11/16/2012Initial 6/13/2012



Emergency Contact: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Owner: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Program Director: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


Sponsor: Judith Whaley

410-524-0902 443-783-2277 410-524-0903


FacilityName: Worcester County Berlin Center

Address: 9730 Healthway Dr. Berlin MD 21811

Phone: (410) 629-0164 Fax: (410) 629-0725




License:

3730

Contacts:







Deaf Services

905071 11/29/2013 11/29/2015General 11/21/2013




(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Medical Director: Andrea Mathias, MD

410-623-1100 410-632-4933



410-632-1100 410-726-2792 410-632-4933



(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


FacilityName: Worcester County Center 4 Clean Start Site

Address: 926 Snow Hill Rd., Cottage 200 Salisbury MD 21804

Phone: (410) 632-1100 Fax: (410) 632-4933




License:

3735

Contacts:







Deaf Services

905074 11/29/2013 11/29/2015General 11/21/2013





(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



410-623-1100 410-632-4933



410-632-1100 410-726-2792 410-632-4933


Program Director: Ms. Tracy Tilghman, LCPC, LCADC

(410) 632-1100 (410) 632-4933


FacilityName: Worcester County Detention Center

Address: 5022 Joyner Rd. Snow Hill MD 21863

Phone: (410) 632-1100 Fax: (410) 632-4933




License:

3739

Contacts:






Deaf Services

905076 11/29/2013 11/29/2015General 11/22/2013





(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


Owner: Ms. Doris Moxley

(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


FacilityName: Worcester County Health Department - Snow Hill Center

Address: 6040 Public Landing Rd., PO Box 249 Snow Hill MD 21863

Phone: (410) 632-1100 Fax: (410) 632-4933




License:

3741

Contacts:

Adolescent Program







Deaf Services

905077 11/29/2013 11/29/2015General 11/22/2013







(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



410-623-1100 410-632-4933



410-632-1100 410-726-2792 410-632-4933



(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933


FacilityName: Worcester County Pocomoke Health Center

Address: 400 A Walnut St. Pocomoke MD 21851

Phone: (410) 957-2005 Fax: (410) 957-2417




License:

3737

Contacts:

Adolescent Program







Deaf Services

905075 11/29/2013 11/29/2015General 11/21/2013





(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



410-623-1100 410-632-4933



410-632-1100 410-726-2792 410-632-4933



(410) 632-1100 (410) 632-4933


FacilityName: Worcester County WACS Center ( Worcester Addictions Cooperative Services)

Address: 11827 Ocean Gateway Ocean City MD 21842

Phone: (410) 213-0202 Fax: (410) 213-1408




License:

3733

Contacts:

Adolescent Program







Deaf Services

905073 11/29/2013 11/29/2015General 11/21/2013






(410) 632-4510 (410) 632-1100(410) 726-2792 (410) 632-4933



410-623-1100 410-632-4933



410-632-1100 410-726-2792 410-632-4933



(410) 632-1100 (410) 632-4933


Documents

Allegany County - Behavioral Health Administration Home · PDF fileContacts: Adolescent Program ... FacilityName: Allegany County Health Department- Outpatient Addictions Program