Organization
POWELL RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WIREMAN LCSW-C, LCADD (PRESIDENT/CEO)
(443) 610-1455
Entity
Organization
Contact information
Practice address
1623 - 1633 E LOMBARD ST, BALTIMORE, MD 21231-1721
(410) 276-1773
Mailing address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
01/08/2025
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