DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PORT RECOVERY IOP INC.

MEDICARE: PORT RECOVERY IOP INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528522901
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORT RECOVERY IOP INC.
Provider Business Mailing Address
First Line : 8615 RIDGELYS CHOICE DR STE 205
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-3028
Country : US
Telephone Number : 443-869-4909
Fax Number : 443-869-4928
Provider Business Practice Location Address
First Line : 8615 RIDGELYS CHOICE DR STE 205
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-3028
Country : US
Telephone Number : 443-869-4909
Fax Number : 443-869-4928
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MATTHEW FINLEY
Credential :
Telephone Number : 443-869-4909
Provider Enumeration Date : 01/30/2019
Last Update Date : 06/30/2025

Similar Medicare Providers

1205090495 — MRS. ANN ISENHOWER ROTHSCHILD LCSW-C
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 212
NOTTINGHAM, MD
21236-3028
Practice Phone: 410-529-2151
Practice Fax:
1043623465 — PORT RECOVERY, INC.
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
21236-3028
Practice Phone: 443-869-4909
Practice Fax: 443-869-4928
1124470356 — PORT RECOVERY PHYSICIANS CARE LLC
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
21236-3028
Practice Phone: 443-869-4909
Practice Fax: 443-869-4928
1902375090 — PORT RECOVERY MENTAL HEALTH, INC.
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
21236-3028
Practice Phone: 443-869-4909
Practice Fax: 443-869-4928
1598234601 — PORT RECOVERY IOP INC.
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
21236-3028
Practice Phone: 443-869-4909
Practice Fax: 443-869-4928
1578026464 — PORT RECOVERY IOP INC.
Practice Location Address:
8615 RIDGELYS CHOICE DR STE 205
NOTTINGHAM, MD
21236-3028
Practice Phone: 443-869-4909
Practice Fax: 443-869-4928

Directions to “PORT RECOVERY IOP INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.