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Organization

REFRESH RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID NDEGWA (GENERAL PARTNER)
(443) 562-0147
Entity
Organization

Contact information

Practice address
5009 BEAUFORT AVE, BALTIMORE, MD 21215-5818
(443) 562-0147
Mailing address
3627 VALLEY TER, WINDSOR MILL, MD 21244-3209

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164W00000X
Licensed Practical Nurse
247000000X
Health Information Technician
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
333600000X
Pharmacy
376K00000X
Nurse's Aide

Other

Enumeration date
12/26/2017
Last updated
12/26/2017
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