Organization
GRACE MEDICAL CENTER, INC.
Active
Other names
ACT/ Mobile Treatment & Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BERKLEY-BROWN (AVP OPERATIONS)
(410) 362-3378
Entity
Organization
Contact information
Practice address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 383-4952
(410) 383-4924
Mailing address
5400 OLD COURT RD, RANDALLSTOWN, MD 21133-5100
(410) 362-3000
(410) 383-4924
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630411700
—
MD
Enumeration date
04/19/2007
Last updated
04/15/2026
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