# FIRST LIGHT RECOVERY PROGRAM INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669953394
- **Authorized official:** MR. GERALD A HILL SR. CSC-AD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (240) 343-2709

## Contact information

- **Practice address:** 1401 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3135
- **Practice address phone:** (240) 343-2709
- **Mailing address:** 1401 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3135
- **Mailing address phone:** (240) 343-2709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | MD | Yes |

## Other

- **Enumeration date:** 08/21/2018
- **Last updated:** 08/21/2018