| Future-hope Behavioral Health Services, Inc | |
|
1301 York Road Suite 800 Ltr 14 Lutherville MD 21093 | |
| (443) 928-5306 | |
| Not Available |
| Full Name | Future-hope Behavioral Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 York Road, Lutherville, Maryland |
| Authorized Official Name and Position | Gabriel M Jiabana (CEO) |
| Authorized Official Contact | 4439285306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Future-hope Behavioral Health Services, Inc 1924 Ellinwood Rd Baltimore MD 21237-1914 Ph: (443) 928-5306 | Future-hope Behavioral Health Services, Inc 1301 York Road Suite 800 Ltr 14 Lutherville MD 21093 Ph: (443) 928-5306 |
| NPI Number | 1245833797 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 5395122972 |
|---|---|
| Medicare Enrollment ID | O20220520000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245833797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nkechi Jiabana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194331934 PECOS PAC ID: 3577970136 Enrollment ID: I20210325002837 |
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