Provider Demographics
NPI:1770221582
Name:ROSIE'S RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:ROSIE'S RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-345-1317
Mailing Address - Street 1:PO BOX 7844
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-0844
Mailing Address - Country:US
Mailing Address - Phone:443-539-3001
Mailing Address - Fax:443-539-3020
Practice Address - Street 1:521 E JOPPA RD STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1803
Practice Address - Country:US
Practice Address - Phone:443-539-3001
Practice Address - Fax:443-539-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-23
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management