Organization
RUSSELL WELLNESS AND RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN PHIPPS (MANAGER)
(661) 313-3184
Entity
Organization
Contact information
Practice address
109 N BRIDGE ST, ELKTON, MD 21921-5326
(661) 313-3184
Mailing address
109 N BRIDGE ST, ELKTON, MD 21921-5326
(661) 313-3184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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