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.