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HAGERSTOWN RECOVERY LLC NPI 1629758057


NPI Information

NPI: 1629758057
Provider Name: HAGERSTOWN RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6 GRANBY CT
DERWOOD, MD
ZIP 20855
Phone: (301) 665-7940
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HAGERSTOWN RECOVERY LLC is a substance abuse rehabilitation facility in Derwood, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. HAGERSTOWN RECOVERY LLC NPI is 1629758057. The provider is registered as an organization entity type.

The provider's business location address is:

6 GRANBY CT
DERWOOD, MD
ZIP 20855-406
Phone: (301) 665-7940

The provider's authorized official is Brett Goldenberg .
The authorized official title is Director Of Operations and has the following contact phone number (410) 916-0802.

The enumeration date for this NPI number is 7/20/2023 and was last updated on 7/20/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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