Organization
BY GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA DUKES MHS,CAC-AD (OWNER)
(443) 831-0191
Entity
Organization
Contact information
Practice address
1000-1004 E PATAPSCO AVE, BALTIMORE, MD 21225-2229
(410) 355-3711
(410) 355-2350
Mailing address
PO BOX 2727, BALTIMORE, MD 21225-0727
(410) 355-3711
(410) 355-2350
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
102166
MD
Other
Enumeration date
04/24/2008
Last updated
06/20/2022
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