| Recovery Network | |
|
201 N Charles St Suite 200 Baltimore MD 21201-4102 | |
| (410) 576-9191 | |
| (410) 576-9257 |
| Full Name | Recovery Network |
|---|---|
| Speciality | Counselor |
| Location | 201 N Charles St, Baltimore, Maryland |
| Authorized Official Name and Position | Clark Joseph Hudak (PRESIDENT/OWNER) |
| Authorized Official Contact | 4105769191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Network 201 N Charles St Suite 200 Baltimore MD 21201-4102 Ph: (410) 576-9191 | Recovery Network 201 N Charles St Suite 200 Baltimore MD 21201-4102 Ph: (410) 576-9191 |
| NPI Number | 1962432724 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 4789674094 |
|---|---|
| Medicare Enrollment ID | O20040517001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962432724 | NPI | - | NPPES |
| 094981710 | Medicaid | MD | |
| 023002200 | Medicaid | MD |
| Provider Name | James D. Luciuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639117591 PECOS PAC ID: 2365411642 Enrollment ID: I20041004000064 |
| Provider Name | David J Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164427266 PECOS PAC ID: 6305835612 Enrollment ID: I20060425000191 |
| Provider Name | Ahmad N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538120613 PECOS PAC ID: 7012939200 Enrollment ID: I20060823000450 |
| Provider Name | Clark Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598786329 PECOS PAC ID: 5496778789 Enrollment ID: I20110209000330 |
| Provider Name | Rochelle W Austrian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306879945 PECOS PAC ID: 3971784794 Enrollment ID: I20110225000565 |
| Provider Name | Bert Nayfack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124051768 PECOS PAC ID: 2961578562 Enrollment ID: I20120126000500 |
| Provider Name | Bryce Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588068019 PECOS PAC ID: 9739482134 Enrollment ID: I20160119001258 |
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