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I'M STILL STANDING BY GRACE NPI 1245629005


NPI Information

NPI: 1245629005
Provider Name: I'M STILL STANDING BY GRACE

Doing Business As: I'M STILL STANDING BY GRACE AND FAMILY SERVICES INSTITUE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1003 E PATAPSCO AVE
BALTIMORE, MD
ZIP 21225
Phone: (443) 831-0191
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I'M STILL STANDING BY GRACE is a mental health (including community mental health center) clinic center in Baltimore, MD. I'M STILL STANDING BY GRACE NPI is 1245629005. The provider is registered as an organization entity type.
The provider Is Doing Business As I'm Still Standing By Grace And Family Services Institue.

The provider's business location address is:

1003 E PATAPSCO AVE
BALTIMORE, MD
ZIP 21225-228
Phone: (443) 831-0191
Fax: (410) 355-3971

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

The enumeration date for this NPI number is 1/16/2015 and was last updated on 1/16/2015.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDMARYLAND

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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