Organization
RECOVERY180 LLC
Active
Parent organization
RECOVERY180 LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECOVERY180 LLC
Authorized official
DESIREE MOUNTAIN (COMPLIANCE OFFICER)
(443) 204-5800
Entity
Organization
Contact information
Practice address
5438 SANDY HILL RD, QUANTICO, MD 21856-2100
(443) 204-5800
Mailing address
1100 BUSINESS PKWY S STE 1, WESTMINSTER, MD 21157-3048
(443) 204-5800
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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