Healthcare Provider Details

I. General information

NPI: 1598542029
Provider Name (Legal Business Name): MARYLAND WELLNESS AND RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 04/13/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4311 GARRETT PARK RD
SILVER SPRING MD
20906-4835
US

IV. Provider business mailing address

11125 ROCKVILLE PIKE STE 302
NORTH BETHESDA MD
20852-3142
US

V. Phone/Fax

Practice location:
  • Phone: 240-242-4225
  • Fax: 240-559-1571
Mailing address:
  • Phone: 240-242-4225
  • Fax: 240-559-1571

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: SAHAR GERAMIFAR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 240-242-4225