Active NPI
Recovery Center of Baltimore
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1669294278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RECOVERY CENTER OF BALTIMORE
- Practice address
- 2435 Lakeview Ave
Baltimore, MD 21217-4786 - Phone
- (667) 777-2001
- Fax
- (410) 826-3855
- NPI assigned
- Oct 26, 2024
- 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
- Bisrat Mesfin, CRNP-PMH
- Title
- Ceo
- Phone
- (512) 947-2747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2435 Lakeview Ave
Baltimore, MD 21217-4786
Mailing address
11 E Lexington St Ste 100
Baltimore, MD 21202-1732
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1669294278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E LEXINGTON ST STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 LAKEVIEW AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212174786",
"telephone_number": "667-777-2001",
"fax_number": "410-826-3855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY CENTER OF BALTIMORE",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-26",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "MESFIN",
"authorized_official_first_name": "BISRAT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-947-2747",
"authorized_official_credential": "CRNP-PMH"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
- Reclaiming Our Children and Community Project Inc
- Reclaiming Our Children and Community Project,Inc
- Reconnect Therapy Center, LLC
- Janet D Record, M.D.
- Jessica Lindsey Record, M.D.
- Recovery Center of Maryland
- Recovery Center of Maryland
- Recovery Center of Maryland
- Recovery Center of Maryland
- Recovery Center of Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.