POWELL RECOVERY CENTER (NPI# 1770057317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770057317 |
| Entity Type | Organization |
| Organization Name | POWELL RECOVERY CENTER |
| Practice Address |
207 N Carey St Baltimore MD 21223-1945 |
| Mailing Address |
14 S Broadway Baltimore MD 21231-1712 |
| Practice Telephone | 4102761773 |
| Mailing Telephone | 4102761773 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | FAYTHE JOHNSON (VP TX COORDINATION & BILLING) |
| Authorized Official Telephone | 4439743027 |
| 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 |
|---|---|---|---|---|
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1346897428 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 1633 E Baltimore St, Baltimore, MD 21231-1510 | 2019-08-22 |
| 1992261622 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 817 N Carey St, Baltimore, MD 21217-5258 | 2019-02-19 |
| 1982160693 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 2902 Sylvan Ave, Baltimore, MD 21214-1248 | 2019-02-18 |
| 1932673506 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 1114 Harlem Ave, Baltimore, MD 21217-2430 | 2019-01-17 |
| 1811471089 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 600 Mccabe Ave, Baltimore, MD 21212-4210 | 2018-09-24 |
| 1609350065 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 1428 Mcculloh St, Baltimore, MD 21217-3437 | 2018-09-21 |
| 1770067134 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 3019 Pulaski Hwy, Baltimore, MD 21224-1323 | 2018-09-21 |
| 1326528860 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 2400 Barclay St, Baltimore, MD 21218-5326 | 2018-08-15 |
| 1770063224 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 3811 Hayward Ave, Baltimore, MD 21215-5009 | 2018-08-15 |
| Street Address |
207 N CAREY ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| 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 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 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 |
| 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.