| Innovation Health System, Llc | |
|
2138 Espey Ct Ste 1 Crofton MD 21114-2495 | |
| (443) 519-7277 | |
| (443) 470-7718 |
| Full Name | Innovation Health System, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2138 Espey Ct Ste 1, Crofton, Maryland |
| Authorized Official Name and Position | Richard Asah Nkwetta (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4435197277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Health System, Llc 2138 Espey Ct Ste 1 Crofton MD 21114-2495 Ph: (443) 519-7277 | Innovation Health System, Llc 2138 Espey Ct Ste 1 Crofton MD 21114-2495 Ph: (443) 519-7277 |
| NPI Number | 1225882483 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225882483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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