Healthcare Provider Details

I. General information

NPI: 1457063307
Provider Name (Legal Business Name): RECTIFY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 RIPPLEWOOD RD
JOPPA MD
21085-4742
US

IV. Provider business mailing address

604 N CHESTER ST # 1047
BALTIMORE MD
21205-2303
US

V. Phone/Fax

Practice location:
  • Phone: 443-956-5745
  • Fax:
Mailing address:
  • Phone: 410-656-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. CATHERINE P ABRAMS
Title or Position: EXECUTIVE CLINICAL DIRECTOR
Credential: LMSW, CAC-AD, RPS
Phone: 410-656-4111