| Port Recovery Iop Inc. | |
|
7000 Harford Rd Baltimore MD 21234-7704 | |
| (443) 869-4909 | |
| (443) 869-4928 |
| Full Name | Port Recovery Iop Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7000 Harford Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Joanne Granruth (OWNER) |
| Authorized Official Contact | 4105348735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Recovery Iop Inc. 8615 Ridgelys Choice Dr Ste 205 Nottingham MD 21236-3028 Ph: (410) 534-8735 | Port Recovery Iop Inc. 7000 Harford Rd Baltimore MD 21234-7704 Ph: (443) 869-4909 |
| NPI Number | 1588926216 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 04/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588926216 | NPI | - | NPPES |
| 680402100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |