{"npi":"1922496892","type":"NPI-2","status":"active","name":{"display":"Wells House INC","other":[],"organization_name":"WELLS HOUSE INC","authorised_official":"Christina Trenton Nee"},"specialty":{"primary_taxonomy":"261QR0405X","primary_taxonomy_description":"Substance Use Disorder Rehabilitation Clinic/Center","slug":"substance-use-disorder-rehabilitation-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR0405X","description":"Substance Use Disorder Rehabilitation Clinic/Center","primary":true,"state":"MD","license":"904921"}]},"addresses":[{"purpose":"LOCATION","street_1":"330 FREDERICK ST","city":"HAGERSTOWN","state":"MD","postal_code":"217406112","country_code":"US","phone":"3017397748","fax":"3017394001"},{"purpose":"MAILING","street_1":"330 FREDERICK ST","city":"HAGERSTOWN","state":"MD","postal_code":"217406112","country_code":"US","phone":"3017397748","fax":"3017394001"}],"license":{"state":"MD","number":"904921"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"532205700","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"532205702","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"532205701","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241219000174","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"8022545714"}]},"enumeration_date":"2014-12-31","last_updated":"2026-05-12","_meta":{"source":"NPPES","snapshot_date":"2026-05-12","doc_url":"https://findmynpi.com/api"}}