| 2 God B The Glory Recovery Family Center | |
|
339 Bloom St Baltimore MD 21217-4598 | |
| (301) 494-3564 | |
| Not Available |
| Full Name | 2 God B The Glory Recovery Family Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 339 Bloom St, Baltimore, Maryland |
| Authorized Official Name and Position | Rowena Simmons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3014943564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2 God B The Glory Recovery Family Center Po Box 67254 Baltimore MD 21215-0009 Ph: () - | 2 God B The Glory Recovery Family Center 339 Bloom St Baltimore MD 21217-4598 Ph: (301) 494-3564 |
| NPI Number | 1013427863 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013427863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21583 (Maryland) | Primary |
| 251V00000X | Voluntary Or Charitable | 25844 (* (Not Available)) | Secondary |
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