OrganizationActive
Addiction Recovery Inc
NPI 1790229094 · Mental Illness Community Based Residential Treatment Facility · Laurel, MD
Provider details
- NPI number
- 1790229094
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Maria Macchio, Credentialing/Billing Manager(410) 923-6700
- License
- 905304 (MD)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
429 Main St
Laurel, MD 20707-4127
Phone: (301) 490-5551
Fax: (410) 923-6213
Approximate (ZIP-level) locationGet directions
Mailing address
429 Main St
Laurel, MD 20707-4127
Registry dates
- Enumerated
- 2016-12-06
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.