Provider Demographics
NPI:1174205538
Name:1 STOP RECOVERY SERVICES
Entity type:Organization
Organization Name:1 STOP RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAUTHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-629-2526
Mailing Address - Street 1:3701 OLD COURT RD STE 24B
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3909
Mailing Address - Country:US
Mailing Address - Phone:443-629-2526
Mailing Address - Fax:
Practice Address - Street 1:3701 OLD COURT RD STE 24B
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3909
Practice Address - Country:US
Practice Address - Phone:443-629-2526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)