OrganizationActive
Queen Anne'S County Health Department
NPI 1174893556 · Substance Use Disorder Rehabilitation Clinic/Center · Centreville, MD
Provider details
- NPI number
- 1174893556
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Queen Anne'S County Health Department
- Organization subpart
- Yes
- Authorized official
- Gary Fry, Program Director(410) 758-1306
- License
- 750325 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 N Liberty St
Centreville, MD 21617-1022
Phone: (410) 758-1306
Fax: (410) 758-2133
Street-level locationGet directions
Mailing address
206 N Commerce St
Centreville, MD 21617-1049
Other names (DBA / former)
- Doing business as
- Queen Anne'S County Alcohol and Drug Abuse Services
Registry dates
- Enumerated
- 2012-01-03
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.