Clear Water Recovery | |
631 N Fulton Ave Baltimore MD 21217-1403 | |
(410) 260-9338 | |
Not Available |
Full Name | Clear Water Recovery |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 631 N Fulton Ave, Baltimore, Maryland |
Authorized Official Name and Position | Alexander Black (OWNER) |
Authorized Official Contact | 4102609338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clear Water Recovery 7916 Mansion House Xing Pasadena MD 21122-6313 Ph: (410) 260-9338 | Clear Water Recovery 631 N Fulton Ave Baltimore MD 21217-1403 Ph: (410) 260-9338 |
NPI Number | 1528790821 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 04/05/2024 |
Certification Date | 04/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528790821 | NPI | - | NPPES |
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