Provider Demographics
NPI:1366156515
Name:ACHIEVE BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ACHIEVE BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POGGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-599-2031
Mailing Address - Street 1:2012 S TOLLGATE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5902
Mailing Address - Country:US
Mailing Address - Phone:410-599-2031
Mailing Address - Fax:
Practice Address - Street 1:2012 S TOLLGATE RD STE 200
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-5902
Practice Address - Country:US
Practice Address - Phone:410-599-2031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility