| NPI | 1386977015 |
|---|---|
| Former Legal Business Name | PEACE & GLORY MANOR MEDICAL ADULT & SENIOR PLUS DAYCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | GLORIA LYNN BROWN -BRISTOL Owner 443-386-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 102X00000X Poetry Therapist | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TH0100X Psychologist, Health Service | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| 104100000X Social Worker | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |