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Organization

ADDICTION RECOVERY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA MACCHIO (CREDENTIALING/BILLING MANAGER)
(410) 923-6700
Entity
Organization

Contact information

Practice address
429 MAIN ST, LAUREL, MD 20707-4127
(301) 490-5551
(410) 923-6213
Mailing address
429 MAIN ST, LAUREL, MD 20707-4127
(301) 490-5551
(410) 923-6213

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
905304
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033653266
NPI NUMBER
MD
01
1255607842
NPI NUMBER
MD
05
520204300
MD
Enumeration date
12/06/2016
Last updated
05/05/2025
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