NPIMap

Organization Active NPI

Amazin Recovery Treatment Services LLC

  • Children's Substance Abuse Rehabilitation Facility
  • Dundalk, MD
National Provider Identifier
1861265720
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
AMAZIN RECOVERY TREATMENT SERVICES LLC
Practice address
6730 Holabird Ave Ste 1
Dundalk, MD 21222-1700
Phone
(443) 376-5785
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Pamela C Johnson, ADDITIONS COUNSELORNPI 1306451224
Title
Owner
Phone
(443) 376-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

6730 Holabird Ave Ste 1
Dundalk, MD 21222-1700

Mailing address

6730 Holabird Ave Ste 1
Dundalk, MD 21222-1700
Phone (443) 376-5785

Other names 1

  • Amazin Recovery Treatment Services LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Amazin Recovery Treatment Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6730 Holabird Ave
Ste 1
Dundalk, MD 21222
Phone (443) 376-5785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1861265720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 1",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-376-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 HOLABIRD AVE STE 1",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212221700",
            "telephone_number": "443-376-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZIN RECOVERY TREATMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-376-5785",
        "authorized_official_credential": "ADDITIONS COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazin Recovery Treatment Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.