Organization
PORT RECOVERY IOP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FINLEY (EXECUTIVE DIRECTOR)
(443) 869-4909
Entity
Organization
Contact information
Practice address
8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236-3028
(443) 869-4909
(443) 869-4928
Mailing address
8615 RIDGELYS CHOICE DR STE 205, NOTTINGHAM, MD 21236-3028
(443) 869-4909
(443) 869-4928
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907451100
—
MD
Enumeration date
01/30/2019
Last updated
06/30/2025
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