Cecil Community Recovery Center LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CECIL COMMUNITY RECOVERY CENTER LLC

Practice address

409 W Pulaski Hwy
Elkton, MD 21921-5218

Phone

(443) 258-9696

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Anne Glazer

Title

Medical Biller

Phone

(443) 352-8622

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cecil Community Recovery Center LLC2 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.

• Cecil Community Recovery Center LLC

  • Methadone Clinic
  • Elkton, MD
  • NPI 1093351678
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Menucha Khoshkherman

  • Behavior Technician
  • Owings Mills, MD
  • NPI 1992379929
  NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1700627254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SLADE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215218",
            "telephone_number": "443-258-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL COMMUNITY RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "443-352-8622"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Carroll, CRNA
• Alicia Kaila Carter, LMSW
• Soul Castellanos-Graham, LMT
• Monique Catalan
• Cecil Community Recovery Center LLC
• Cecil County
• Cecil County Health Department
• Cecil County Health Department
• Cecil County Health Department
• Cecil County Health Department

• Addiction (Substance Use Disorder) Counselor in Elkton, MD
• Providers in Elkton, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.