Organization
DIVINE GRACE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIVINE ACHU (CEO)
(240) 486-0347
Entity
Organization
Contact information
Practice address
7211 PARK HEIGHTS AVE STE 4, BALTIMORE, MD 21208-5497
(240) 486-0357
Mailing address
9333 STEEPLE CT, LAUREL, MD 20723-5820
(240) 486-0357
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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