Organization
PHOENIX RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KINNEBERG MHA (DIRECTOR)
(410) 671-7374
Entity
Organization
Contact information
Practice address
107 EDGEWOOD RD, EDGEWOOD, MD 21040
(410) 671-7374
(410) 679-7757
Mailing address
107 EDGEWOOD RD, EDGEWOOD, MD 21040
(410) 671-7374
(410) 679-7757
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
13137
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Enumeration date
01/09/2007
Last updated
06/10/2020
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