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General NPI Number Information
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NPI Number | 1285592352
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Entity Type | Organization
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Legal Business Name | FOREST GLEN RECOVERY HOUSE, CORP
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1523 FOREST GLEN RD
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City | SILVER SPRING
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State | MD
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Zip | 20910-1405
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Country | US
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Telephone | 804-433-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 1523 FOREST GLEN RD
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City | SILVER SPRING
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State | MD
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Zip | 20910-1405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAY DORSEY
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Credential |
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Telephone | 804-433-7084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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