| Dominion Healthcare Services Inc | |
|
3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265 | |
| (667) 260-6027 | |
| (667) 260-6028 |
| Full Name | Dominion Healthcare Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3455 Wilkens Ave Ste 208, Baltimore, Maryland |
| Authorized Official Name and Position | Mercy Ngeusang (PROVIDER) |
| Authorized Official Contact | 4438489123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Healthcare Services Inc 3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265 Ph: (667) 260-6027 | Dominion Healthcare Services Inc 3455 Wilkens Ave Ste 208 Baltimore MD 21229-5265 Ph: (667) 260-6027 |
| NPI Number | 1902673437 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902673437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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