Organization
STORMY WEATHER RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARISMA GOVAN-FACEY (CO-OWNER)
(800) 484-8007
Entity
Organization
Contact information
Practice address
4712 DUNKIRK AVE, BALTIMORE, MD 21229-3318
(800) 484-8007
Mailing address
PO BOX 2703, BROOKLYN, MD 21225-0703
(800) 484-8007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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