PORT RECOVERY IOP INC. NPI 1588926216

NPI Information

PORT RECOVERY IOP INC. is an addiction (substance use disorder) counselor in Baltimore, MD. PORT RECOVERY IOP INC. NPI is 1588926216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7000 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 (410) 534-8735.

The enumeration date for this NPI number is 6/8/2012 and was last updated on 4/14/2019.

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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