| Mnc Wellness Center | |
|
5702 Country Farm Road White Marsh MD 21162 | |
| (443) 501-2444 | |
| (443) 583-5881 |
| Full Name | Mnc Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5702 Country Farm Road, White Marsh, Maryland |
| Authorized Official Name and Position | Michael Nwandu (DR/DIR.) |
| Authorized Official Contact | 4109007617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mnc Wellness Center 5702 Country Farm Rd White Marsh MD 21162-1723 Ph: (410) 900-7617 | Mnc Wellness Center 5702 Country Farm Road White Marsh MD 21162 Ph: (443) 501-2444 |
| NPI Number | 1285250191 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Medicare PECOS PAC ID | 4880012996 |
|---|---|
| Medicare Enrollment ID | O20200922000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285250191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael I Nwandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053961987 PECOS PAC ID: 6800219783 Enrollment ID: I20200710001243 |
Ally Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10839 Philadelphia Rd Ste B&c, White Marsh, MD 21162 Phone: 240-342-2666 | |
Restoration Behavioral Health Systems,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd Ste 107, White Marsh, MD 21162 Phone: 443-559-4890 | |
Restoration Behavioral Health Systems,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Campbell Blvd Ste 107, White Marsh, MD 21162 Phone: 410-982-6355 |