Organization Active NPI

Sober Transition and Recovery Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1750780979
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCA1877 Issued in MD
Legal business name
SOBER TRANSITION AND RECOVERY SERVICES
Practice address
3218 Belair Rd.
Baltimore, MD 21213
Phone
(443) 813-5677
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Ozietta Taylor, PHD
Title
Ceo
Phone
(443) 813-5677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCA1877 MD Primary

Addresses

Primary practice location

3218 Belair Rd.
Baltimore, MD 21213

Mailing address

5417 Daywalt Avenue
Baltimore, MD 21206
Phone (443) 813-5677

Other identifiers 1

IdentifierTypeStateIssuer
00000MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1750780979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 DAYWALT AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21206",
            "telephone_number": "443-813-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 BELAIR RD.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21213",
            "telephone_number": "443-813-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER TRANSITION AND RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "OZIETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-813-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LCA1877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.