Graceful Dove Recovery, LLC
Counselor, Addiction (Substance Use Disorder) in Baltimore, MD. Organization (NPI-2).
NPI number1609596105
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1609596105
- Entity type
- Organization (NPI-2)
- Legal business name
- Graceful Dove Recovery, LLC
- Organization subpart
- No
- Enumeration date
- Sep 2, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
214 E Randall StBaltimore, MD 21230-4652
Phone 240-712-1851
Mailing address
214 E Randall StBaltimore, MD 21230-4652
Phone 240-712-1851
Authorized official
Melissa Christine Lee Furmage
Owner
2407121851
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