Active NPI
Gale Recovery, Inc.
- Substance Abuse Rehabilitation Facility
- Frederick, MD
National Provider Identifier
1568433126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 750432
- Legal business name
- GALE RECOVERY, INC.
- Doing business as
- Olson House
- Practice address
- 608 E Patrick St
Frederick, MD 21701-5732 - Phone
- (301) 662-7003
- Fax
- (301) 631-0768
- NPI assigned
- Jan 31, 2006
- 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
- Ms. Marte Birnbaum, LCSW-C
- Title
- Executive Director
- Phone
- (301) 662-7003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 750432 | MD | Primary |
Addresses
Primary practice location
608 E Patrick St
Frederick, MD 21701-5732
Mailing address
608 E Patrick St
Frederick, MD 21701-5732
Phone (301) 662-7003
Other names 1
- Olson House
National Provider Directory
National Provider Directory- Tax ID family
- Gale House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Frederick, MD
- NPI 1194873588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1568433126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 E PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015732",
"telephone_number": "301-662-7003",
"fax_number": "301-631-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 E PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015732",
"telephone_number": "301-662-7003",
"fax_number": "301-631-0768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALE RECOVERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "BIRNBAUM",
"authorized_official_first_name": "MARTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "301-662-7003",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "MD",
"license": "750432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olson House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.