OrganizationActive
Avery Halfway House
NPI 1821071176 · Substance Abuse Rehabilitation Facility · Rockville, MD
Provider details
- NPI number
- 1821071176
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lorene Lake, Executive Director(410) 974-6829
- License
- 9217 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
14705 Avery Rd
Rockville, MD 20853-3605
Phone: (301) 762-4651
Fax: (301) 762-4836
Approximate (ZIP-level) locationGet directions
Mailing address
14705 Avery Rd
Rockville, MD 20853-3605
Other names (DBA / former)
- Other name
- Chrysalis House Inc.
Registry dates
- Enumerated
- 2005-11-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.