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1366184244
PORT RECOVERY IOP INC.
BALTIMORE, MD
NPI
1366184244
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Entity Type
Organization
Authorized Contact
JOANNE GRANRUTH
Owner
443-463-8035
Organization Subpart ?
No
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
PORT RECOVERY IOP INC.
3202 BAYONNE AVE
BALTIMORE, MD 21214-2325
Phone number: 443-869-4909
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Mailing Address
PORT RECOVERY IOP INC.
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236-3028
Phone number: 443-869-4909
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