Healthcare Provider Details

I. General information

NPI: 1992486732
Provider Name (Legal Business Name): ROSIE'S RECOVERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 N FREMONT AVE
BALTIMORE MD
21201-1302
US

IV. Provider business mailing address

PO BOX 7844
ESSEX MD
21221-0844
US

V. Phone/Fax

Practice location:
  • Phone: 877-500-0595
  • Fax: 443-539-3020
Mailing address:
  • Phone: 443-539-3001
  • Fax: 443-539-3020

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: YOLANDA HAYES
Title or Position: CEO
Credential:
Phone: 443-539-3001