Organization
GRACEFUL DOVE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CHRISTINE LEE FURMAGE (OWNER)
(240) 712-1851
Entity
Organization
Contact information
Practice address
214 E RANDALL ST, BALTIMORE, MD 21230-4652
(240) 712-1851
Mailing address
214 E RANDALL ST, BALTIMORE, MD 21230-4652
(240) 712-1851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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