| Balm Of Gilead Health & Wellness Center, Llc | |
|
107 Beacon Rd Middle River MD 21220-3504 | |
| (443) 842-4945 | |
| (443) 231-7854 |
| Full Name | Balm Of Gilead Health & Wellness Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Beacon Rd, Middle River, Maryland |
| Authorized Official Name and Position | Chinwe M Okudo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3016552927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balm Of Gilead Health & Wellness Center, Llc 107 Beacon Rd Middle River MD 21220-3504 Ph: (443) 868-7405 | Balm Of Gilead Health & Wellness Center, Llc 107 Beacon Rd Middle River MD 21220-3504 Ph: (443) 842-4945 |
| NPI Number | 1114690674 |
|---|---|
| Provider Enumeration Date | 07/29/2021 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114690674 | NPI | - | NPPES |
| 1932765146 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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