Powell Recovery Center, Inc.
LBN: Powell Recovery Center, Inc.
Powell Recovery Center, Inc. is an health care organization with primary practice located at 16 S Broadway , Baltimore MD 21231-1712. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Powell Recovery Center, Inc. can be contacted via phone (410) 276-1773, or through Wireman, Kim Krantz via phone (410) 276-1773.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 103079 | Maryland |
Profile Details
| NPI number | 1952382665 |
|---|---|
| LBN Legal business name | Powell Recovery Center, Inc. |
| DBA Doing business as | |
| Authorized official | Wireman, Kim Krantz LCSW-C, LGADC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Oct 8th, 2021 - about 3 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 | 1952382665 | NPPES |
| Maryland | MEDICAID | 218121500 | |
| Maryland | MEDICAID | 415783400 |
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