Organization
A GLORIOUS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY TATAW (CEO)
(410) 696-2645
Entity
Organization
Contact information
Practice address
3203A CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(410) 205-2458
Mailing address
3203A CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(410) 696-2645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
02/21/2025
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