Healthcare Provider Details

I. General information

NPI: 1700718871
Provider Name (Legal Business Name): P2H RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3119 FERNDALE AVE
BALTIMORE MD
21207-6712
US

IV. Provider business mailing address

3119 FERNDALE AVE
BALTIMORE MD
21207-6712
US

V. Phone/Fax

Practice location:
  • Phone: 570-244-7952
  • Fax:
Mailing address:
  • Phone: 570-244-7952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY DRAKE
Title or Position: DIRECTOR
Credential: LSW
Phone: 570-244-7952