Organization · Type 2 NPI
Port Recovery Iop Inc.
Substance Abuse Rehabilitation Facility · Baltimore, MD
NPI number
1063209963
Active
Practice location
3406 Chesley Ave
Baltimore, MD 21234-7905
Mailing address
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1063209963
Port Recovery Iop Inc.'s National Provider Identifier is 1063209963, issued on Apr 23, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 23, 2025.