NPI | 1104494293 |
---|---|
Doing Business As | ALL BY THE GRACE, LLC - PRP-A |
Entity Type | Organization |
Authorized Contact | KISA MORRIS Owner 410-824-1908 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-06-15 |