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Phoenix Recovery Center Inc

Substance Use Disorder Rehabilitation Clinic/Center in Edgewood, MD · enumerated 2007 · authorized official Robert Kinneberg, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417006503

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Registry record

Entity type Organization (Type 2)
Legal business name Phoenix Recovery Center Inc
Practice address 107 Edgewood Rd, Edgewood, MD, 21040
Phone (410) 671-7374
Fax (410) 679-7757
Enumeration date Jan 9, 2007
Last updated in NPPES Jun 10, 2020

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 13137 (MD) Primary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Robert Kinneberg
Title Director
Phone (410) 671-7374

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-06-10. Verify at npiregistry.cms.hhs.gov.
Where is Phoenix Recovery Center Inc located?
The practice location on file with NPPES is in Edgewood, MD.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-10.