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Organization

REPRISE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESIREE N MOUNTAIN (COMPLIANCE OFFICER)
(443) 204-5800
Entity
Organization

Contact information

Practice address
308 LONG ISLAND AVE UNIT ABCDEF, BALTIMORE, MD 21229-4005
(443) 204-5800
Mailing address
1100 BUSINESS PKWY S UNIT A, 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
03/24/2022
Last updated
03/24/2022
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