Organization · NPI-2

2 God B The Glory Recovery Family Center

Social Worker, Clinical · Baltimore, MD

NPI number1013427863
StatusActive
Last updated in NPPESOct 6, 2017

Details

NPI
1013427863
Entity type
Organization (NPI-2)
Legal business name
2 God B The Glory Recovery Family Center
Organization subpart
No
Enumeration date
Oct 6, 2017
Last updated
Oct 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical21583MDYes
251V00000X Voluntary or Charitable25844–

Practice location

339 Bloom St
Baltimore, MD 21217-4598

Phone 301-494-3564

Mailing address

Po Box 67254
Baltimore, MD 21215-0009

Authorized official

Rowena Simmons
Executive Director
3014943564

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