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Contact Information

RUSSELL WELLNESS AND RECOVERY CENTER LLC
109 N BRIDGE ST
ELKTON, MD21921-5326
 Phone: 667-441-4677
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL WELLNESS AND RECOVERY CENTER LLC

NPI # 1275477333
LBN Legal business name RUSSELL WELLNESS AND RECOVERY CENTER LLC
Authorized official KATHLEEN PHIPPS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2026
Last updated 04/17/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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