Organization · Type 2 NPI
By Grace
Substance Use Disorder Rehabilitation Clinic/Center · Baltimore, MD
NPI number
1194990770
Active
Practice location
1000-1004 E Patapsco Ave
Baltimore, MD 21225-2229
Fax (410) 355-2350
Mailing address
PO Box 2727
Baltimore, MD 21225-0727
Other practice locations
- 1002 E Patapsco Ave, Baltimore, MD 21225-2229 · (103) 553-7114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 102166 (MD) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1194990770
By Grace's National Provider Identifier is 1194990770, issued on Apr 24, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Baltimore, MD. The record was last updated on Jun 20, 2022.