Icwc Recovery Inc

LBN: Icwc Recovery Inc
Icwc Recovery Inc is an health care organization with primary practice located at 4413 Park Heights Ave , Baltimore MD 21215-6323. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Icwc Recovery Inc can be contacted via phone (443) 708-3834, or through Cason, Tyrica via phone (856) 304-3911.

Contact Information

Primary practice address
4413 Park Heights Ave Baltimore MD 21215-6323
Phone: (443) 708-3834
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cason, Tyrica
Phone: (856) 304-3911

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1922663574
LBN Legal business name Icwc Recovery Inc
DBA Doing business as
Authorized official Cason, Tyrica
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2019
Last updated May 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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