Provider Demographics
NPI:1730458738
Name:RECOVERY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:RECOVERY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACTS MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC
Authorized Official - Phone:443-904-0145
Mailing Address - Street 1:2801 CHEVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3125
Mailing Address - Country:US
Mailing Address - Phone:301-772-5174
Mailing Address - Fax:301-772-5647
Practice Address - Street 1:2801 CHEVERLY AVE
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-3125
Practice Address - Country:US
Practice Address - Phone:301-772-5174
Practice Address - Fax:301-772-5647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22177261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)