NPI | 1538945076 |
---|---|
Other Name | I'M STILL STANDING BY GRACE OMHC |
Entity Type | Organization |
Authorized Contact | PAMELA DUKES CEO 443-355-1379 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-31 |
Last Update Date | 2023-08-31 |