institution
Port Recovery Iop Inc.
Substance Abuse Rehabilitation Facility in Baltimore, Maryland
NPI 1073385613

Port Recovery Iop Inc. is a Substance Abuse Rehabilitation Facility based in Nottingham, MD. Port Recovery Iop Inc. practices in Baltimore, MD. The NPI Number for Port Recovery Iop Inc. is 1073385613 and holds a License No. (Maryland).

The current practice location address for Port Recovery Iop Inc. is 2917 Bayonne Ave, Baltimore, MD and can be reached out via phone at 443-869-4909 and via fax at 443-869-4928.

Location: 2917 Bayonne Ave, Baltimore, MD, 21236-3028
institution
Provider Profile Details
NPI Number
1073385613
Provider Name
Port Recovery Iop Inc.
Credential
Provider Entity Type
Organization
Address
2917 Bayonne Ave, Baltimore, MD, 21236-3028
Phone Number
443-869-4909
Fax Number
443-869-4928
Provider Enumeration Date
10/26/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6800271 05 MD
6800297 05 MD
6804021 05 MD
institution
Provider Business Practice Location Address Details
Address
2917 Bayonne Ave
City
State
Zip
21214-1726
Phone Number
443-869-4909
Fax Number
443-869-4928
person
Provider Business Mailing Address Details
Address
2917 Bayonne Ave
City
State
Zip
21214-1726
Phone Number
443-869-4909
Fax Number
443-869-4928
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
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.
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