| Process Of Changes | |
|
1000 Ingleside Ave Fl 1 Baltimore MD 21228-1317 | |
| (443) 551-3784 | |
| (443) 551-3801 |
| Full Name | Process Of Changes |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1000 Ingleside Ave Fl 1, Baltimore, Maryland |
| Authorized Official Name and Position | Paula Ohiku (OWNER) |
| Authorized Official Contact | 4104047651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Process Of Changes 1000 Ingleside Ave Fl 1 Baltimore MD 21228-1317 Ph: (443) 404-7651 | Process Of Changes 1000 Ingleside Ave Fl 1 Baltimore MD 21228-1317 Ph: (443) 551-3784 |
| NPI Number | 1275174872 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275174872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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