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Powell Recovery Center

Substance Abuse Rehabilitation Facility in Baltimore, MD. Organization (NPI-2).

NPI number1982160693
StatusActive
Last updated in NPPESFeb 18, 2019

Details

NPI
1982160693
Entity type
Organization (NPI-2)
Legal business name
Powell Recovery Center
Organization subpart
No
Enumeration date
Feb 18, 2019
Last updated
Feb 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

2902 Sylvan Ave
Baltimore, MD 21214-1248

Phone 410-276-1773

Mailing address

14 S Broadway
Baltimore, MD 21231-1712

Phone 410-276-1773

Authorized official

Faythe Johnson
Vp Tx Coordination & Billing
4102761773

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