Provider Demographics
NPI:1255841169
Name:REK ADVANCED THERAPEUTIC SOLUTIONS
Entity Type:Organization
Organization Name:REK ADVANCED THERAPEUTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:ELYSABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-760-6285
Mailing Address - Street 1:6419 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6419 YORK RD STE 100
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2144
Practice Address - Country:US
Practice Address - Phone:443-210-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REK ADVANCED THERAPEUTIC SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-05
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder