Powell Recovery Center | |
14 S Broadway Baltimore MD 21231-1712 | |
(410) 276-1773 | |
(410) 276-2056 |
Full Name | Powell Recovery Center |
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Speciality | Clinic/center - Primary Care |
Location | 14 S Broadway, Baltimore, Maryland |
Authorized Official Name and Position | Faythe M Moyer (LCSW-C) |
Authorized Official Contact | 4102761773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Powell Recovery Center 14 S Broadway Baltimore MD 21231-1712 Ph: (410) 276-1773 | Powell Recovery Center 14 S Broadway Baltimore MD 21231-1712 Ph: (410) 276-1773 |
NPI Number | 1760884027 |
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Provider Enumeration Date | 09/18/2014 |
Last Update Date | 09/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760884027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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