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Organization
PEACE & GLORY MANOR, INC
Active
Organization
PEACE & GLORY MANOR, INC
Active
Other names
Peace & Glory Manor Medical Adult & Senior Plus Daycare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLORIA LYNN BROWN -BRISTOL (OWNER)
(443) 386-9959
Entity
Organization
Contact information
Practice address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(443) 386-9959
(410) 922-4620
Mailing address
3829 KILBURN RD, RANDALLSTOWN, MD 21133-4655
(443) 386-9959
(410) 922-4620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
102X00000X
Poetry Therapist
—
NULL
102X00000X
Poetry Therapist
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
NULL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
NULL
103TE1100X
Exercise & Sports Psychologist
—
—
103TH0100X
Health Service Psychologist
—
NULL
103TH0100X
Health Service Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
NULL
103TR0400X
Rehabilitation Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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