C. C. Recovery, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

DOO65625 Issued in MD

Legal business name

C. C. RECOVERY, INC.

Doing business as

Cecil County Recovery

Practice address

722 E Pulaski Hwy
Elkton, MD 21921-6029

Phone

(301) 724-1144

Fax

(301) 724-2268

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Scott Christopher Lastrapes, M.D.

Title

Medical Director

Phone

(301) 724-1144

Specialties & licenses 1

Addresses

Other names 1

• Cecil County Recovery Doing business as

Locations

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1629363015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216029",
            "telephone_number": "301-724-1144",
            "fax_number": "301-724-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216029",
            "telephone_number": "301-724-1144",
            "fax_number": "301-724-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. C. RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "LASTRAPES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-724-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MD",
            "license": "DOO65625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cecil County Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn G. Burkhouse, LCSW-C
• Morgan Taylor Burns
• Heather R Burris, PHARM.D.
• Emily Bwint, PA-C
• Amber Byrd
• Lauren Claire Calvert, LGPC
• Melinda Campbell, LCPC
• Melanie Campion, MS. CCC-SLP
• Linda Ruth Canning, LPN
• Jeannine Ann Cannito, APRN/PMH, CRNP-PMH

• Methadone Clinic in Elkton, MD
• Providers in Elkton, MD by specialty
• Methadone Clinic in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.