Reprise Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REPRISE RECOVERY LLC

Practice address

308 Long Island Ave Unit Abcdef
Baltimore, MD 21229-4005

Phone

(443) 204-5800

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Desiree N Mountain

Title

Compliance Officer

Phone

(443) 204-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1821748849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUSINESS PKWY S UNIT A",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573048",
            "telephone_number": "443-204-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 LONG ISLAND AVE UNIT ABCDEF",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294005",
            "telephone_number": "443-204-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRISE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "443-204-5800"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stuart Renzi, DMD
• Meghan Frances Renzi, LGSW
• Peggy Sue Renzi
• Molly Elizabeth Repecki, MS, RD, LDN
• Michael Xavier Repka, M.D.
• Jon Rodney Resar, M.D.
• Erin Elizabeth Resch, M.D.
• Rescuing Hearts Homecare LLC
• Reservoir Clinical Associates
• Resilience Emdr Therapy LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.