OrganizationActive
Port Recovery Iop Inc.
NPI 1316689383 · Psychiatric Residential Treatment Facility · Nottingham, MD
Provider details
- NPI number
- 1316689383
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joanne Granruth, Owner(443) 463-8035
Specialties & taxonomies
Residential Treatment Facilities
Practice location
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Phone: (443) 869-4909
Fax: (443) 869-4928
Approximate (ZIP-level) locationGet directions
Mailing address
8615 Ridgelys Choice Dr Ste 205
Nottingham, MD 21236-3028
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.