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PHOENIX RECOVERY CENTER INC
NPI 1417006503
Clinic/Center - Rehabilitation, Substance Use Disorder in Edgewood, MD

Active since January 09, 2007
107 EDGEWOOD RD, EDGEWOOD, MD 21040(410) 671-7374(410) 679-7757 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Recovery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RECOVERY CENTER INC (NPI 1417006503) is a healthcare organization registered as a rehabilitation, substance use disorder in Edgewood, Maryland and active in the NPI registry since January 2007. The organization lists Robert Kinneberg, Director, as its authorized official.

NPPES Registry Identity

NPI1417006503
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePHOENIX RECOVERY CENTER INC
Location Address107 EDGEWOOD RDEdgewood, MD 21040
Mailing Address107 Edgewood RdEdgewood, MD 21040 · (410) 671-7374 · Fax (410) 679-7757
Phone(410) 671-7374
Fax(410) 679-7757
Organization SubpartNo
Authorized OfficialRobert KinnebergDirector · (410) 671-7374
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1417006503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in MD · 13137
107 EDGEWOOD RD, Edgewood, MD 21040
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROJECT CHESAPEAKE, LLC
Substance Abuse Rehabilitation Facility
107 EDGEWOOD RD
EDGEWOOD, MD 21040
Harford County (443) 440-5782
PATRICIA MARIE SCHWIEGERATH RN
Registered Nurse (Addiction (Substance Use Disorder))
107 EDGEWOOD RD
EDGEWOOD, MD 21040
Harford County (410) 793-1179
MR. ROBERT MAYHEW ADT
Counselor (Addiction (Substance Use Disorder))
107 EDGEWOOD RD
EDGEWOOD, MD 21040
Harford County (301) 893-7574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Recovery Center Inc's NPI number?

The NPI number for Phoenix Recovery Center Inc is 1417006503. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Phoenix Recovery Center Inc located?

Phoenix Recovery Center Inc is located at 107 Edgewood Rd, Edgewood, MD 21040. The listed phone number is (410) 671-7374.

What is Phoenix Recovery Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Phoenix Recovery Center Inc was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.