Organization Active NPI

Gale Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Frederick, MD
National Provider Identifier
1568433126
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
750432 Issued in MD
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

Updated by the provider on Apr 29, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gale House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.