MEDICARE: FOREST GLEN RECOVERY HOUSE, CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1285592352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST GLEN RECOVERY HOUSE, CORP

Provider Business Mailing Address
First Line	:	1523 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1523 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1405
Country	:	US
Telephone Number	:	804-433-7084
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RAY DORSEY
Credential	:
Telephone Number	:	804-433-7084

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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