OrganizationActive
Baltimore Detox Center LLC
NPI 1275115495 · Substance Abuse Rehabilitation Facility · Woodlawn, MD
Provider details
- NPI number
- 1275115495
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Allison Heaberlin, Credentialing Specialist(410) 415-3385
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1825 Woodlawn Dr
Woodlawn, MD 21207-4080
Phone: (410) 457-7396
Street-level locationGet directions
Mailing address
10461 Mill Run Cir Ste 810
Owings Mills, MD 21117-5549
Registry dates
- Enumerated
- 2021-04-27
- Last updated
- 2024-01-12
- Certified
- 2024-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.