ADDICTION RECOVERY INC NPI 1790229094

NPI Information

  • NPI: 1790229094
  • Provider Name: ADDICTION RECOVERY INC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • CLIA Number: 21D2236354
  • Address: 429 MAIN ST
    LAUREL, MD
    ZIP 20707
  • Phone: (301) 490-5551

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NPI Details

ADDICTION RECOVERY INC is a community based residential treatment facility mental illness in Laurel, MD. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. ADDICTION RECOVERY INC NPI is 1790229094. The provider is registered as an organization entity type.

The provider's business location address is:

429 MAIN ST
LAUREL, MD
ZIP 20707-127
Phone: (301) 490-5551
Fax: (410) 923-6213

The provider's authorized official is Maria Macchio .
The authorized official title is Credentialing/billing Manager and has the following contact phone number (843) 299-1554.

The CLIA number assigned to this NPI record is 21D2236354 - other - poc toxicology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness905304MARYLANDYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11255607842OTHERMARYLANDNPI NUMBER
2520204300MEDICAIDMARYLAND

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: 3/30/2025

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