Organization
REBUILD ELEVATE ACHEIVE AND LIVE (REAL) LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GRIMM (OWNER)
(443) 453-3608
Entity
Organization
Contact information
Practice address
7034 LIBERTY RD, BALTIMORE, MD 21207-5801
(240) 749-5433
Mailing address
7034 LIBERTY RD, BALTIMORE, MD 21207-5801
(240) 749-5433
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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