Provider Demographics
NPI:1912684267
Name:ROYAL MENTAL HEALTH & RECOVERY SERVICES LLC
Entity Type:Organization
Organization Name:ROYAL MENTAL HEALTH & RECOVERY SERVICES LLC
Other - Org Name:ROYAL MENTAL HEALTH & RECOVERY SERVICES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:FINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:410-302-8550
Mailing Address - Street 1:NO 2 CLAYFIELD CT
Mailing Address - Street 2:HOME
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:410-302-8550
Mailing Address - Fax:
Practice Address - Street 1:NO 2 CLAYFIELD CT
Practice Address - Street 2:HOME
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:410-302-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health