| Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc | |
|
4002 W Belvedere Ave Unit A Baltimore MD 21215-5502 | |
| (410) 984-7411 | |
| Not Available |
| Full Name | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 4002 W Belvedere Ave Unit A, Baltimore, Maryland |
| Authorized Official Name and Position | Innocent Akpuaka (CEO) |
| Authorized Official Contact | 4103046544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc Po Box 31699 Gwynn Oak MD 21207-8699 Ph: (410) 984-7411 | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc 4002 W Belvedere Ave Unit A Baltimore MD 21215-5502 Ph: (410) 984-7411 |
| NPI Number | 1700436813 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 06/09/2022 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700436813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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