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Organization

A PLACE OF GRACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA BOWSER (CEO)
(443) 722-6838
Entity
Organization

Contact information

Practice address
2328 MCCULLOH ST, BALTIMORE, MD 21217-3543
(443) 722-6838
Mailing address
10 W EAGER ST STE 400, BALTIMORE, MD 21201-5471
(443) 722-6838
(443) 722-6838

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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