NPIMap

Organization Active NPI

Impact Dui, Ilc

Doing business as Right Turn Impact

  • Substance Abuse Rehabilitation Facility
  • Eldersburg, MD
National Provider Identifier
1326646878
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IMPACT DUI, ILC
Doing business as
Right Turn Impact
Practice address
1209 Liberty Rd Unit 104
Eldersburg, MD 21784-7980
Phone
(410) 581-4900
NPI assigned
Oct 15, 2020
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Daniel Brannon
Title
Ceo
Phone
(410) 581-4900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

1209 Liberty Rd Unit 104
Eldersburg, MD 21784-7980

Mailing address

1209 Liberty Rd Unit 102
Eldersburg, MD 21784-7980
Phone (410) 581-4900

Other practice location 1

1209 Liberty Rd Unit 106
Eldersburg, MD 21784-7980
Phone (410) 581-4900

Other practice location 2

1209 Liberty Rd Unit 105
Eldersburg, MD 21784-7980
Phone (410) 581-4900

Other practice location 3

1209 Liberty Rd Unit 103
Eldersburg, MD 21784-7980
Phone (410) 581-4900

Other names 1

  • Right Turn Impact Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impact Dui LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1209 Liberty Rd
Unit 103
Eldersburg, MD 21784
Phone (410) 581-4900

1209 Liberty Rd
Unit 106
Eldersburg, MD 21784
Phone (410) 581-4900

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1326646878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 LIBERTY RD UNIT 102",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847980",
            "telephone_number": "410-581-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 LIBERTY RD UNIT 104",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847980",
            "telephone_number": "410-581-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Liberty Rd Unit 106",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217847980",
            "country_code": "US",
            "telephone_number": "410-581-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Liberty Rd Unit 105",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217847980",
            "country_code": "US",
            "telephone_number": "410-581-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 Liberty Rd Unit 103",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217847980",
            "country_code": "US",
            "telephone_number": "410-581-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT DUI, ILC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-581-4900"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right Turn Impact",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Right Turn Impact",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.