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

Address
802 WALNUT GROVE RD
City
Essex
ZIP Code
21221-6087
Phone
(443) 449-1862

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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