| Immaculate Healthcare Systems | |
|
3511 W Forest Park Ave Baltimore MD 21216-1428 | |
| (443) 929-9090 | |
| Not Available |
| Full Name | Immaculate Healthcare Systems |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3511 W Forest Park Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Stella Chinonyerem Nnabugwu (CEO) |
| Authorized Official Contact | 4439299090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immaculate Healthcare Systems 3511 W Forest Park Ave Baltimore MD 21216-1428 Ph: (443) 929-9090 | Immaculate Healthcare Systems 3511 W Forest Park Ave Baltimore MD 21216-1428 Ph: (443) 929-9090 |
| NPI Number | 1033853643 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033853643 | NPI | - | NPPES |
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