NPI 1013427863 · live from the CMS NPI Registry
2 God B The Glory Recovery Family Center
Social Worker, Clinical in Baltimore, MD. National Provider Identifier 1013427863, active.
NPI record
| NPI | 1013427863 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 339 Bloom St, Baltimore, MD 21217 |
| Practice phone | 301-494-3564 |
| Mailing address | Po Box 67254, Baltimore, MD 21215 |
| Enumerated | October 6, 2017 |
| Last updated | October 6, 2017 |
| Authorized official | Rowena Simmons, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable | 251V00000X | 25844 |
| Social Worker, Clinical primary | 1041C0700X | 21583 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.