Port Recovery Mental Health, Inc.
LBN: Port Recovery Mental Health, Inc.
Port Recovery Mental Health, Inc. is an health care organization with primary practice located at 7004 Harford Rd , Baltimore MD 21234-7704. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Port Recovery Mental Health, Inc. can be contacted via phone (443) 869-4909, or through Granruth, Joanne via phone (443) 534-8735.
Contact Information
Primary practice address
7004 Harford Rd
Baltimore MD 21234-7704
Phone: (443) 869-4909
Fax: (443) 869-4928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1932453727 |
|---|---|
| LBN Legal business name | Port Recovery Mental Health, Inc. |
| DBA Doing business as | |
| Authorized official | Granruth, Joanne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2012 |
| Last updated | Nov 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932453727 | NPPES |
| Maryland | MEDICAID | 623601400 |
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