Amazin Recovery Treatment Services LLC
Substance Abuse Rehabilitation Facility

Address: 124 Ironwood Ct, Baltimore, MD 21237-4071
Phone: 4107764373

Amazin Recovery Treatment Services LLC (NPI# 1801431689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1801431689
Entity Type Organization
Organization Name AMAZIN RECOVERY TREATMENT SERVICES LLC
Practice Address 124 Ironwood Ct
Baltimore
MD 21237-4071
Practice Telephone 4107764373
Mailing Address 6730 Holabird Avenue
Ste 201
Dundalk
MD 21222
Mailing Telephone 4107764373
Authorized Official Name Mrs. Pamela Chivette Johnson (CEO)
Authorized Official Telephone 4107764373
Authorized Official Credential CACAD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-15
Last Update Date 2019-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

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1942854104 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 6 N Broadway, Baltimore, MD 21231-1519 2019-07-26
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Office Location

Street Address 124 IRONWOOD CT
City BALTIMORE
State MD
Zip Code 21237-4071

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1063802940 Melissa Pollard Pharmacy Technician 1521 Seling Ave, Baltimore, MD 21237 2015-01-29
1053733378 Thrive Behavioral Health, LLC Community/Behavioral Health 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 2014-01-07
1073953527 Jyotsna Gummadi Internal Medicine 9000 Franklin Sqaure Dr, Hospitalist Department, Baltimore, MD 21237 2013-06-28
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Competitor

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City BALTIMORE
Zip Code 21237

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Dataset Information

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.

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