Graceful Phoenix Recovery Housing LLC
NPI #1518798651 in Essex, Maryland
Provider Information
- NPI Number
- 1518798651
- Entity Type
- Organization
- Organization Name
- Graceful Phoenix Recovery Housing LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 10, 2024
- Last Updated
- Aug 10, 2024
Practice Location
Authorized Official
- Name
- TEYANA JOHNSON, CAC-AD
- Title
- OWNER
- Phone
- (443) 449-1862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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