Active NPI
Family Recovery Program
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baltimore, MD
National Provider Identifier
1063067049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- FAMILY RECOVERY PROGRAM
- Practice address
- 239 N Gay St
Baltimore, MD 21202-4822 - Phone
- (410) 605-0492
- NPI assigned
- Aug 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jocelyn Gainers
- Title
- Ceo/Director
- Phone
- (410) 605-0492
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
239 N Gay St
Baltimore, MD 21202-4822
Mailing address
239 N Gay St
Baltimore, MD 21202-4822
Phone (410) 605-0492
Other practice location 1
1209 N Rose St
Baltimore, MD 21213-3770
Phone (410) 605-0492
National Provider Directory
National Provider DirectoryLocations
239 N Gay St
Baltimore, MD 21202
Phone (410) 605-0492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
- NPI 1740643790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1063067049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 N GAY ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024822",
"telephone_number": "410-605-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N GAY ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212024822",
"telephone_number": "410-605-0492"
}
],
"practiceLocations": [
{
"address_1": "1209 N Rose St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212133770",
"country_code": "US",
"telephone_number": "410-605-0492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAMILY RECOVERY PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "GAINERS",
"authorized_official_first_name": "JOCELYN",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "410-605-0492",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Family Health Centers of Baltimore, Inc.
- Family Love Home Care LLC
- Family Matters Therapeutic Services, LLC
- Family Orthodontics of Maryland LLC
- Family Pharmacy LLC
- Family Respiratory & Medical Supply, Inc.
- Family Support Center of Maryland, LLC
- Family Support Therapy Center
- Family Therapy Behavior Services, LLC
- Family Therapy Behavioral Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.