Provider Demographics
NPI:1710730452
Name:FOCUS RECOVERY CENTER LLC
Entity Type:Organization
Organization Name:FOCUS RECOVERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YAHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAH
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:301-228-9641
Mailing Address - Street 1:801 TOLLHOUSE AVENUE ,B1&B2,FREDERICK MD 21701
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701
Mailing Address - Country:US
Mailing Address - Phone:301-228-9641
Mailing Address - Fax:301-228-9365
Practice Address - Street 1:801 TOLLHOUSE AVENUE ,B1&B2,FREDERICK MD 21701
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701
Practice Address - Country:US
Practice Address - Phone:301-228-9641
Practice Address - Fax:301-228-9365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder