Healthcare Provider Details

I. General information

NPI: 1902731268
Provider Name (Legal Business Name): GRACE AND MERCY COMMUNITY SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 PRESIDENTS DR STE 232
LANHAM MD
20706-4870
US

IV. Provider business mailing address

4601 PRESIDENTS DR STE 232
LANHAM MD
20706-4870
US

V. Phone/Fax

Practice location:
  • Phone: 301-441-2368
  • Fax: 301-441-2360
Mailing address:
  • Phone: 301-441-2368
  • Fax: 301-441-2360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: HARIS ZULFIQAR
Title or Position: AM
Credential:
Phone: 571-999-9915