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-FOUNDER/CO-OWNER) |
Authorized Official Contact | 4432138243 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 | 1376102970 |
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Provider Enumeration Date | 06/07/2019 |
Last Update Date | 03/15/2022 |
Certification Date | 03/15/2022 |
Medicare PECOS PAC ID | 0840628624 |
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Medicare Enrollment ID | O20200309001995 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376102970 | NPI | - | NPPES |
Provider Name | Ahaoma R Nnebedum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326491671 PECOS PAC ID: 6709213697 Enrollment ID: I20200306000063 |
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