Healthcare Provider Details

I. General information

NPI: 1386227940
Provider Name (Legal Business Name): MULLIGAN RECOVERY CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 E MAIN ST
WESTMINSTER MD
21157-5527
US

IV. Provider business mailing address

297 E MAIN ST
WESTMINSTER MD
21157-5527
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-2408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BRIAN MCCALL
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 877-768-5544