Organization
BAYSIDE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GALAHER (PROGRAM SPONSOR)
(410) 991-5687
Entity
Organization
Contact information
Practice address
440 SOLOMONS ISLAND RD N, SUITE 222, PRINCE FREDERICK, MD 20678-3941
(443) 486-5680
(443) 486-5679
Mailing address
440 SOLOMONS ISLAND RD N, SUITE 222, PRINCE FREDERICK, MD 20678-3941
(443) 486-5680
(443) 486-5679
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2015
Last updated
11/07/2023
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