| Axis Behavioral Health Llc | |
|
7405 Thames River Dr Hanover MD 21076-1778 | |
| (443) 345-7967 | |
| Not Available |
| Full Name | Axis Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7405 Thames River Dr, Hanover, Maryland |
| Authorized Official Name and Position | Queendaline Nwobodo (PRESIDENT) |
| Authorized Official Contact | 4433457967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axis Behavioral Health Llc 7405 Thames River Dr Hanover MD 21076-1778 Ph: (443) 345-7967 | Axis Behavioral Health Llc 7405 Thames River Dr Hanover MD 21076-1778 Ph: (443) 345-7967 |
| NPI Number | 1063226280 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063226280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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