Passionate Behavioral Health Center Inc | |
19 Walker Ave Ste 304 Pikesville MD 21208-4067 | |
(443) 213-8243 | |
(443) 808-0476 |
Full Name | Passionate Behavioral Health Center Inc |
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Speciality | Community/behavioral Health |
Location | 19 Walker Ave Ste 304, Pikesville, Maryland |
Authorized Official Name and Position | Fulai Diom And Stephanie Walinjom (CO-OWNER / CO-FOUNDER) |
Authorized Official Contact | 4432138243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Passionate Behavioral Health Center Inc 19 Walker Ave Ste 304 Pikesville MD 21208-4067 Ph: (443) 213-8243 | Passionate Behavioral Health Center Inc 19 Walker Ave Ste 304 Pikesville MD 21208-4067 Ph: (443) 213-8243 |
NPI Number | 1215552062 |
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Provider Enumeration Date | 06/08/2020 |
Last Update Date | 03/15/2022 |
Certification Date | 03/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215552062 | NPI | - | NPPES |
1376102970 | Medicaid | MD |
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