Organization Active NPI

Recovery Center of Maryland

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1053836981
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RECOVERY CENTER OF MARYLAND
Practice address
22 E 25TH St
Baltimore, MD 21218-5142
Phone
(704) 901-4916
NPI assigned
Aug 11, 2017
Last updated
Aug 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Warrick StewartNPI 1477867307
Title
President
Phone
(704) 901-4916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

22 E 25TH St
Baltimore, MD 21218-5142

Mailing address

22 E 25TH St
Baltimore, MD 21218-5142

Other identifiers 1

IdentifierTypeStateIssuer
922069MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Recovery Center of Ohio LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1053836981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185142",
            "telephone_number": "704-901-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "WARRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-901-4916"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922069",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.