POWELL RECOVERY CENTER, INC.; NPI #1215786777

Contact Information

POWELL RECOVERY CENTER, INC.

1745 E BALTIMORE ST
BALTIMORE, MD 21231

Phone: 410-276-1773
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for POWELL RECOVERY CENTER, INC.

NPI Number	`1215786777`
LBN Legal business name	POWELL RECOVERY CENTER, INC.
Authorized official	FAYTHE JOHNSON - (VP TX COORDINATION & BILLING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/16/2024
Last updated	05/16/2024 - About 2 years 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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