PORT RECOVERY IOP INC.

NOTTINGHAM, MD
NPI1578026464
Entity TypeOrganization
Authorized ContactJOANNE GRANRUTH
Owner
410-534-8735
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
2084P0800X Psychiatry & Neurology, Psychiatry
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2019-04-09
Last Update Date2019-04-09
Business Address
PORT RECOVERY IOP INC.
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236-3028
Phone number: 443-869-4909
Mailing Address
PORT RECOVERY IOP INC.
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD 21236-3028
Phone number: 443-869-4909