| Transformational Recovery | |
|
3202 Glenmore Ave Baltimore MD 21214-1815 | |
| (443) 398-1414 | |
| Not Available |
| Full Name | Transformational Recovery |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3202 Glenmore Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Kenya Conway (OWNER) |
| Authorized Official Contact | 4433981414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformational Recovery 3010 Ridgewood Ave # 204 Baltimore MD 21215-6211 Ph: () - | Transformational Recovery 3202 Glenmore Ave Baltimore MD 21214-1815 Ph: (443) 398-1414 |
| NPI Number | 1477267680 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477267680 | NPI | - | NPPES |
| 221213535 | Other | MD | BHA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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