MEDICARE: GLASS HOUSE RECOVERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	175T00000X	Peer Specialist
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1467121426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLASS HOUSE RECOVERY

Provider Business Mailing Address
First Line	:	8318 FORREST ST STE 100
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5148
Country	:	US
Telephone Number	:	410-970-4842
Fax Number	:	410-941-0156

Provider Business Practice Location Address
First Line	:	8318 FORREST ST STE 100
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-5148
Country	:	US
Telephone Number	:	410-970-4842
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	JENNIFER HALL GARBER
Credential	:
Telephone Number	:	410-970-4190

Provider Enumeration Date	:	09/12/2021
Last Update Date	:	04/06/2026

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Directions to “GLASS HOUSE RECOVERY ” Practice Location

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