ICWC RECOVERY INC
NPI 1922663574
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

Active since May 08, 2019
4413 PARK HEIGHTS AVE, BALTIMORE, MD 21215(443) 708-3834 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icwc Recovery Inc NPPES

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

ICWC RECOVERY INC (NPI 1922663574) is a healthcare organization registered as a rehabilitation, substance use disorder in Baltimore, Maryland and active in the NPI registry since May 2019. The organization lists Tyrica Cason, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1922663574
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameICWC RECOVERY INC
Location Address4413 PARK HEIGHTS AVEBaltimore, MD 21215-6323
Mailing Address4413 Park Heights AveBaltimore, MD 21215-6323 · (443) 708-3834
Organization SubpartNo
Authorized OfficialTyrica CasonPresident/ceo · (856) 304-3911
Enumeration DateMay 8, 2019
NPI 1922663574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4413 PARK HEIGHTS AVE, Baltimore, MD 21215

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Icwc Recovery Inc's NPI number?

The NPI number for Icwc Recovery Inc is 1922663574. It was assigned to this organization in the NPPES registry on May 8, 2019.

Where is Icwc Recovery Inc located?

Icwc Recovery Inc is located at 4413 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (443) 708-3834.

What is Icwc Recovery 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 Icwc Recovery Inc was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.