Port Recovery, Inc.

LBN: Port Recovery, Inc.
Port Recovery, Inc. is an health care organization with primary practice located at 3410 White Ave , Baltimore MD 21214-2301. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Port Recovery, Inc. can be contacted via phone (410) 534-8735, or through Granruth, Michele L via phone (410) 534-8735.

Contact Information

Primary practice address
3410 White Ave Baltimore MD 21214-2301
Phone: (410) 534-8735
Fax: (410) 534-8737
Website:
Map and Directions
Authorized official contact:
Name: Granruth, Michele L
Phone: (410) 534-8735

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1043623465
LBN Legal business name Port Recovery, Inc.
DBA Doing business as
Authorized official Granruth, Michele L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2014
Last updated Mar 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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