First Light Recovery Program INC

Counselor, Addiction (Substance Use Disorder) in Baltimore, MD. Organization (NPI-2).

NPI number1669953394

StatusActive

Last updated in NPPESAug 21, 2018

Details

NPI: 1669953394
Entity type: Organization (NPI-2)
Legal business name: First Light Recovery Program INC
Organization subpart: No
Enumeration date: Aug 21, 2018
Last updated: Aug 21, 2018

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	MD	Yes

Practice location

1401 Pennsylvania Ave
Baltimore, MD 21217-3135

Phone 240-343-2709

Mailing address

1401 Pennsylvania Ave
Baltimore, MD 21217-3135

Phone 240-343-2709

Authorized official

Gerald A Hill
Executive Director
2403432709

Is something wrong?

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Other Addiction (Substance Use Disorder) Counselor providers in Baltimore, MD

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