Organization
TRANSFORMATIONAL RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA CONWAY (OWNER)
(443) 398-1414
Entity
Organization
Contact information
Practice address
3202 GLENMORE AVE, BALTIMORE, MD 21214-1815
(443) 398-1414
Mailing address
3010 RIDGEWOOD AVE # 204, BALTIMORE, MD 21215-6211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221213535
BHA LICENSE
MD
Enumeration date
01/11/2023
Last updated
01/11/2023
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