POWELL RECOVERY CENTER, INC. (NPI# 1396343414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396343414 |
| Entity Type | Organization |
| Organization Name | POWELL RECOVERY CENTER, INC. |
| Practice Address |
15 S Broadway Baltimore MD 21231-1714 |
| Mailing Address |
14 S Broadway Baltimore MD 21231-1712 |
| Practice Telephone | 4102761771 |
| Mailing Telephone | 4102761773 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MRS. FAYTHE JOHNSON (VP BILLING & TX COORDINATION) |
| Authorized Official Telephone | 4102761773 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1790318210 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 7 S Broadway, Baltimore, MD 21231-1558 | 2020-02-13 |
| 1962044529 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 819 E Baltimore St, Baltimore, MD 21202-4729 | 2019-10-15 |
| 1942854104 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 6 N Broadway, Baltimore, MD 21231-1519 | 2019-07-26 |
| 1336700061 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1110 N Warwick Ave, Baltimore, MD 21216-4419 | 2019-06-24 |
| 1710548441 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 2503 Winchester St, Baltimore, MD 21216-4433 | 2019-06-24 |
| 1801457536 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 2505 Winchester St, Baltimore, MD 21216-4436 | 2019-06-24 |
| 1518528256 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1634 E Baltimore St, Baltimore, MD 21231-1509 | 2019-06-24 |
| 1689235673 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1111 Whitmore Ave, Baltimore, MD 21216-4426 | 2019-06-21 |
| 1912477704 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1633 E Lombard St, Baltimore, MD 21231-1721 | 2018-12-05 |
| Street Address |
15 S BROADWAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1447875216 | Unlimited Bounds Human Services LLC | Substance Abuse Rehabilitation Facility | 504 Beaumont Ave, Baltimore, MD 21212-4310 | 2020-06-08 |
| 1417577966 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 928 W Franklin St, Baltimore, MD 21223-1337 | 2020-04-24 |
| 1912527722 | Royal Minds Inc | Substance Abuse Rehabilitation Facility | 533 Chateau Ave, Baltimore, MD 21212-4306 | 2020-04-22 |
| 1841829892 | Cmds Residential | Substance Abuse Rehabilitation Facility | 15 S Fulton Ave, Baltimore, MD 21223-2306 | 2020-04-02 |
| 1306472964 | Created for Greater Health Systems | Substance Abuse Rehabilitation Facility | 1508 N Caroline St, Baltimore, MD 21213-2804 | 2020-03-16 |
| 1497380893 | Top'em | Substance Abuse Rehabilitation Facility | 8105 Timberbrooke Rd, Baltimore, MD 21237-3350 | 2020-03-05 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.