RECOVERY180 LLC
NPI 1366137929
Clinic/Center - Rehabilitation, Substance Use Disorder in Quantico, MD

Active since April 10, 2023
22119 ROYAL OAK RD, QUANTICO, MD 21856(443) 289-8606 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About RECOVERY180 LLC

This page provides the complete NPI Profile along with additional information for Recovery180 Llc, a provider established in Quantico, Maryland operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1366137929 assigned on April 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Desiree Mountain (Compliance)

NPI
1366137929 Verify this NPI
Provider Name
RECOVERY180 LLC
Entity Type
Organization
Location Address
22119 ROYAL OAK RD QUANTICO, MD 21856
Location Phone
(443) 289-8606
Mailing Address
1100 BUSINESS PKWY S STE 1 WESTMINSTER, MD 21157
Mailing Phone
(443) 204-5800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2023
Last Update Date
04-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DESIREE MOUNTAIN

Authorized Official Title
COMPLIANCE
Authorized Official Phone
(443) 204-5800

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366137929, enumerated as an "organization" on April 10, 2023.

The provider is located at 22119 ROYAL OAK RD QUANTICO, MD 21856 and the phone number is (443) 289-8606.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.