Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Recovery Center Inc

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1417006503

Phoenix Recovery Center Inc is a Substance Use Disorder Rehabilitation Clinic/Center in Edgewood, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Edgewood Rd
Edgewood, MD 21040
Phone: (410) 671-7374
Fax: (410) 679-7757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 13137 (MD)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1417006503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Kinneberg — Director · (410) 671-7374
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address107 Edgewood Rd, Edgewood, MD 21040

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