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Organization

I'MSTILL STANDING BY GRACE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA DUKES (OWNER)
(443) 831-0191
Entity
Organization

Contact information

Practice address
1003 E PATAPSCO AVE, BALTIMORE, MD 21225-2228
(443) 355-1379
Mailing address
1001- 1003 E PATAPSCO AVE, BALTIMORE, MD 21225
(443) 355-1379

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
Primary
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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