Healthcare Provider Details

I. General information

NPI: 1306271929
Provider Name (Legal Business Name): SINAI HOSPITAL ADDICTIONS RECOVERY PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 CYLBURN AVENUE
BALTIMORE MD
21215
US

IV. Provider business mailing address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5461
  • Fax:
Mailing address:
  • Phone: 410-601-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES B EFIRD
Title or Position: DIRECTOR
Credential:
Phone: 410-601-7019