POWELL RECOVERY CENTER, INC. (NPI# 1952382665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952382665 |
| Entity Type | Organization |
| Organization Name | POWELL RECOVERY CENTER, INC. |
| Practice Address |
14 S Broadway Baltimore MD 21231-1712 |
| Practice Telephone | 4102761773 |
| Practice Fax Number | 4102762056 |
| Mailing Telephone | 4102761773 |
| Mailing Fax Number | 4102762056 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | MS. KIM KRANTZ WIREMAN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4102761773 |
| Authorized Official Credential | LGSW, LGADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
103079 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 218121500 | 05 | |
| MD | 415783400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1790318210 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 7 S Broadway, Baltimore, MD 21231-1558 | 2020-02-13 |
| 1962044529 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 819 E Baltimore St, Baltimore, MD 21202-4729 | 2019-10-15 |
| 1942854104 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 6 N Broadway, Baltimore, MD 21231-1519 | 2019-07-26 |
| 1336700061 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1110 N Warwick Ave, Baltimore, MD 21216-4419 | 2019-06-24 |
| 1710548441 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 2503 Winchester St, Baltimore, MD 21216-4433 | 2019-06-24 |
| 1801457536 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 2505 Winchester St, Baltimore, MD 21216-4436 | 2019-06-24 |
| 1518528256 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1634 E Baltimore St, Baltimore, MD 21231-1509 | 2019-06-24 |
| 1689235673 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 1111 Whitmore Ave, Baltimore, MD 21216-4426 | 2019-06-21 |
| Street Address |
14 S BROADWAY |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21231-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334597 | Patricia Ann Collins | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2020-10-19 |
| 1861009532 | Charvel Louise Stokes | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2020-09-28 |
| 1356979819 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 14 S Broadway, Baltimore, MD 21231-1712 | 2020-03-31 |
| 1376183459 | Kiara Faulkner | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2020-01-07 |
| 1669010542 | Wanda Lee Brookins | Peer Specialist | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-12-11 |
| 1255977138 | Joey Lynn Wallace | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-11-26 |
| 1619510922 | Phylea C Daniels-mccoy | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-10-21 |
| 1225687387 | Renee Ann Liebnow | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-09-10 |
| 1275181737 | Betty Ann Phillips | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-08-28 |
| 1992352611 | Marie Ramsey-williams | Counselor | 14 S Broadway, Baltimore, MD 21231-1712 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901102 | Danielle Wexler | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Fl 3, Baltimore, MD 21231 | 2019-06-14 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1982196176 | Gabriel Ewing | Massage Therapist | Sanctuary Bodyworks, 710 S. Ann St. #210, Baltimore, MD 21231 | 2018-06-04 |
| 1306358098 | Zachary Woods | Chiropractor | 2001 Eastern Avenue, 1st Floor, Baltimore, MD 21231 | 2017-11-02 |
| 1396191458 | The Johns Hopkins Hospital | Pharmacy | 401 N. Broadway, Suite 1001, Baltimore, MD 21231 | 2016-05-09 |
| 1235593468 | Saurabh Raj Pandey | Pharmacist | 919 N Caroline St, Baltimore, MD 21231 | 2016-04-13 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| 1245645514 | Marie Woods | Psychologist | 14 S. Broadway St., Baltimore, MD 21231 | 2014-06-25 |
| 1003226234 | Rebecca Delaney Tsao | Nurse Practitioner | 98 North Broadway, Suite 421, Baltimore, MD 21231 | 2014-04-28 |
| 1265856488 | Paul Laurence Dunbar High School | Clinic/Center | 1400 Orleans Street, Baltimore, MD 21231 | 2014-02-07 |
| Find all providers in zip 21231 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
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| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
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| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.