Provider Demographics
NPI:1568801322
Name:FOCUS ON RECOVERY, LLC
Entity Type:Organization
Organization Name:FOCUS ON RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:CARLTON
Authorized Official - Last Name:MCQUEEN-BEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:443-414-0917
Mailing Address - Street 1:3404 TULSA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-6123
Mailing Address - Country:US
Mailing Address - Phone:410-944-8323
Mailing Address - Fax:
Practice Address - Street 1:1101 ST. PAUL ST. SUITE 111
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:443-414-0917
Practice Address - Fax:410-547-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD904923252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency