Organization
HARBOR OF GRACE ENHANCED RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DAVID HILL D.D.S. (MANAGING PARTNER)
(410) 725-6919
Entity
Organization
Contact information
Practice address
437 GIRARD ST, HAVRE DE GRACE, MD 21078-3215
(443) 502-8606
(443) 502-8598
Mailing address
402 MARVEL CT, EASTON, MD 21601-4052
(443) 502-8606
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
100696
MD
324500000X
Substance Abuse Rehabilitation Facility
100697
MD
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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