Powell Recovery Center

LBN: Powell Recovery Center
Powell Recovery Center is an health care organization with primary practice located at 14 S Broadway , Baltimore MD 21231-1712. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Powell Recovery Center can be contacted via phone (410) 276-1773, or through Moyer, Faythe via phone (410) 276-1773.

Contact Information

Primary practice address
14 S Broadway Baltimore MD 21231-1712
Phone: (410) 276-1773
Fax: (410) 276-2056
Website:
Map and Directions
Authorized official contact:
Name: Moyer, Faythe
Phone: (410) 276-1773

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 903742 Maryland

Profile Details

NPI number 1497984645
LBN Legal business name Powell Recovery Center
DBA Doing business as
Authorized official Moyer, Faythe
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2009
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497984645 NPPES
Maryland MEDICAID 6355102-00

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