OrganizationActive
Recovery180 LLC
NPI 1366137929 · Substance Use Disorder Rehabilitation Clinic/Center · Quantico, MD
Provider details
- NPI number
- 1366137929
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Desiree Mountain, Compliance(443) 204-5800
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22119 Royal Oak Rd
Quantico, MD 21856-2084
Phone: (443) 289-8606
Street-level locationGet directions
Mailing address
1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048
Registry dates
- Enumerated
- 2023-04-10
- Last updated
- 2023-04-10
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.