Active NPI
Clear Water Recovery
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1285505735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CLEAR WATER RECOVERY
- Practice address
- 4641 Park Heights Ave
Baltimore, MD 21215-6331 - Phone
- (443) 571-9174
- Fax
- (410) 364-8284
- NPI assigned
- Sep 17, 2025
- 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
- Alexander L Black
- Title
- Ceo
- Phone
- (410) 260-9338
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4641 Park Heights Ave
Baltimore, MD 21215-6331
Mailing address
7916 Mansion House Xing
Pasadena, MD 21122-6313
Phone (410) 260-9338
National Provider Directory
National Provider Directory- Tax ID family
- Clear Water Recovery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1528790821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1285505735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 MANSION HOUSE XING",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226313",
"telephone_number": "410-260-9338",
"fax_number": "410-364-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 PARK HEIGHTS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212156331",
"telephone_number": "443-571-9174",
"fax_number": "410-364-8284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR WATER RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "ALEXANDER L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-260-9338"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.