Addiction Recovery INC
Community Based Residential Treatment Facility, Mental Illness in Laurel, MD. Organization (NPI-2).
NPI number1790229094
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1790229094
- Entity type
- Organization (NPI-2)
- Legal business name
- Addiction Recovery INC
- Organization subpart
- No
- Enumeration date
- Dec 6, 2016
- Certification date
- May 5, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | 905304 | MD | Yes |
Practice location
429 Main StLaurel, MD 20707-4127
Phone 301-490-5551 · Fax 410-923-6213
Mailing address
429 Main StLaurel, MD 20707-4127
Phone 301-490-5551 · Fax 410-923-6213
Authorized official
Maria Macchio
Credentialing/Billing Manager
4109236700
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