Port Recovery Iop Inc.

LBN: Port Recovery Iop Inc.
Port Recovery Iop Inc. is an health care organization with primary practice located at 8615 Ridgelys Choice Dr Ste 205 , Nottingham MD 21236-3028. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Port Recovery Iop Inc. can be contacted via phone (443) 869-4909, or through Granruth, Joanne via phone (410) 534-8735.

Contact Information

Primary practice address
8615 Ridgelys Choice Dr Ste 205 Nottingham MD 21236-3028
Phone: (443) 869-4909
Fax: (443) 869-4928
Website:
Map and Directions
Authorized official contact:
Name: Granruth, Joanne
Phone: (410) 534-8735

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1578026464
LBN Legal business name Port Recovery Iop Inc.
DBA Doing business as
Authorized official Granruth, Joanne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2019
Last updated Apr 9th, 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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