Grace Recovery Services

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GRACE RECOVERY SERVICES

Practice address

1415 Madison Park Dr
Glen Burnie, MD 21061-5866

Phone

(410) 999-0891

NPI assigned

Nov 5, 2026

Last updated

Nov 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tami Conway

Title

Compliance Officer

Phone

(410) 999-0891

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1700785581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON PARK DR STE 100A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616140",
            "telephone_number": "410-999-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615866",
            "telephone_number": "410-999-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "410-999-0891"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenita Naomi Gorrell, M.D.
• Darryl Gotwalt
• Bharathi Gowda, MD
• Grace Home Medical Equipment LLC (Home MediService Inc)
• Grace House Iop, LLC
• Katelynne Brooke Gracie, CNM, RN
• Elizabeth Marie Grady, D.O.
• Katherine Mary Grady, PT, MS
• Anthony Graham, CRNA
• Ariel Graham

• Substance Use Disorder Rehabilitation Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.