| Icwc Recovery Inc | |
|
4413 Park Heights Ave Baltimore MD 21215-6323 | |
| (443) 708-3834 | |
| Not Available |
| Full Name | Icwc Recovery Inc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4413 Park Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Tyrica Cason (PRESIDENT/CEO) |
| Authorized Official Contact | 8563043911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icwc Recovery Inc 4413 Park Heights Ave Baltimore MD 21215-6323 Ph: (443) 708-3834 | Icwc Recovery Inc 4413 Park Heights Ave Baltimore MD 21215-6323 Ph: (443) 708-3834 |
| NPI Number | 1922663574 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922663574 | NPI | - | NPPES |
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