PORT RECOVERY MENTAL HEALTH INC. NPI 1932453727

NPI Information

PORT RECOVERY MENTAL HEALTH, INC. is a mental health counselor in Baltimore, MD. PORT RECOVERY MENTAL HEALTH, INC. NPI is 1932453727. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7004 HARFORD RD
BALTIMORE, MD
ZIP 21234-704
Phone: (443) 869-4909
Fax: (443) 869-4928

The provider's authorized official is Joanne Granruth .
The authorized official title is Owner and has the following contact phone number (443) 534-8735.

The CLIA number assigned to this NPI record is 21D2107314 - other - substance abuse with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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