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BY GRACE NPI 1194990770


NPI Information

NPI: 1194990770
Provider Name: BY GRACE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1000-1004 E PATAPSCO AVE
BALTIMORE, MD
ZIP 21225
Phone: (410) 355-3711
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BY GRACE is a rehabilitation and substance use disorder clinic center in Baltimore, MD. BY GRACE NPI is 1194990770. The provider is registered as an organization entity type.

The provider's business location address is:

1000-1004 E PATAPSCO AVE
BALTIMORE, MD
ZIP 21225-229
Phone: (410) 355-3711
Fax: (410) 355-2350

The provider's authorized official is Pamela Dukes .
The authorized official title is Owner and has the following contact phone number (443) 831-0191.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 6/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder102166MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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