OrganizationGrateful TherapeuticsAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address141 Thomas Johnson Dr Ste 170, Frederick, MD 21702-4530(240) 556-5748(908) 653-9399PECOS EnrollmentBased on the most recent information from CMS, provider Grateful Therapeutics does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669055810Provider TypeOrganizationFull NameGrateful TherapeuticsSubpartNoEnumeration Date5/4/2021Last Updated5/4/2021Contact InformationPractice LocationPractice Address141 Thomas Johnson Dr Ste 170, Frederick, MD 21702-4530Phone(240) 556-5748FaxUnlisted FaxMailing LocationMailing Address4 Esther Ann Way, Reisterstown, MD 21136-5846Phone(908) 653-9399Fax(908) 653-9305Authorized OfficialNameFlaks, John (Owner)Phone(908) 653-9399Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer