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Grace House Iop, Llc
Substance Abuse Rehabilitation Facility in Glen Burnie, Maryland
NPI 1285361725

Grace House Iop, Llc is a Substance Abuse Rehabilitation Facility based in Glen Burnie, MD. Grace House Iop, Llc practices in Glen Burnie, MD. The NPI Number for Grace House Iop, Llc is 1285361725 and holds a License No. (Maryland).

The current practice location address for Grace House Iop, Llc is 1401 Madison Park Dr, Glen Burnie, MD and can be reached out via phone at 410-903-6483. You can also correspond with Grace House Iop, Llc through the mailing address at 1401 MADISON PARK DR, GLEN BURNIE, MD - 21061-5881 (mailing address contact number: 410-903-6483).

Location: 1401 Madison Park Dr, Glen Burnie, MD, 21061-5881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285361725
Provider Name
Grace House Iop, Llc
Credential
Provider Entity Type
Organization
Address
1401 Madison Park Dr, Glen Burnie, MD, 21061-5881
Phone Number
410-903-6483
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1401 Madison Park Dr
City
Glen Burnie
State
Maryland
Zip
21061-5881
Phone Number
410-903-6483
Fax Number
person
Provider Business Mailing Address Details
Address
1401 Madison Park Dr
City
Glen Burnie
State
Maryland
Zip
21061-5881
Phone Number
410-903-6483
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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