Organization
AMAZING GRACE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALIK KEENE COACH (FOUNDER)
(202) 359-0493
Entity
Organization
Contact information
Practice address
1106 PATUXENT GREENS DR, LAUREL, MD 20708-3404
(202) 359-0493
Mailing address
1106 PATUXENT GREENS DR, LAUREL, MD 20708-3404
(202) 359-0493
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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