| Grand Journey Behavioral Health Solutions, Llc | |
|
5515 Selma Ave Ste Aand2c Halethorpe MD 21227-2854 | |
| (410) 961-9943 | |
| Not Available |
| Full Name | Grand Journey Behavioral Health Solutions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5515 Selma Ave Ste Aand2c, Halethorpe, Maryland |
| Authorized Official Name and Position | Nzinga Conaway (OWNER/CEO) |
| Authorized Official Contact | 4109619943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Journey Behavioral Health Solutions, Llc 4028 Gold Hill Rd Owings Mills MD 21117-5048 Ph: (410) 961-9943 | Grand Journey Behavioral Health Solutions, Llc 5515 Selma Ave Ste Aand2c Halethorpe MD 21227-2854 Ph: (410) 961-9943 |
| NPI Number | 1750914172 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750914172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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