Organization · NPI-2

Ram Recovery LLC

Clinic/Center, Rehabilitation, Substance Use Disorder · Waldorf, MD

NPI number1750005781
StatusActive
Last updated in NPPESNov 4, 2022

Details

NPI
1750005781
Entity type
Organization (NPI-2)
Legal business name
Ram Recovery LLC
Organization subpart
No
Enumeration date
Oct 3, 2022
Certification date
Nov 4, 2022
Last updated
Nov 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
324500000X Substance Abuse Rehabilitation Facility––

Practice location

3649 Leonardtown Rd
Waldorf, MD 20601-3626

Phone 410-401-0297

Mailing address

3455 Wilkens Ave Ste 203
Baltimore, MD 21229-5265

Phone 410-401-0297

Authorized official

Jameela Mitchell
Nurse Practitioner
4433006757

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