| Port Recovery Mental Health, Inc. | |
|
7004 Harford Rd Baltimore MD 21234-7704 | |
| (443) 869-4909 | |
| (443) 869-4928 |
| Full Name | Port Recovery Mental Health, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7004 Harford Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Joanne Granruth (OWNER) |
| Authorized Official Contact | 4435348735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Recovery Mental Health, Inc. 8615 Ridgelys Choice Dr Ste 205 Nottingham MD 21236-3028 Ph: (410) 534-8735 | Port Recovery Mental Health, Inc. 7004 Harford Rd Baltimore MD 21234-7704 Ph: (443) 869-4909 |
| NPI Number | 1932453727 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932453727 | NPI | - | NPPES |
| 623601400 | Medicaid | MD |
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