Powell Recovery Center
Substance Abuse Rehabilitation Facility in Baltimore, MD. Organization (NPI-2).
NPI number1205366234
StatusActive
Last updated in NPPESJun 13, 2017
Details
- NPI
- 1205366234
- Entity type
- Organization (NPI-2)
- Legal business name
- Powell Recovery Center
- Organization subpart
- No
- Enumeration date
- Jun 13, 2017
- Last updated
- Jun 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 906000 | MD | Yes |
Practice location
26 S BroadwayBaltimore, MD 21231-1712
Phone 410-276-1773
Mailing address
14 S BroadwayBaltimore, MD 21231-1712
Phone 410-276-1773
Authorized official
Faythe Moyer
Billing Director
4439743027
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