| Resolution Health And Wellness Center | |
|
1401 S Edgewood St Ste 100 Halethorpe MD 21227-1145 | |
| (410) 275-0928 | |
| Not Available |
| Full Name | Resolution Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 S Edgewood St Ste 100, Halethorpe, Maryland |
| Authorized Official Name and Position | Odianosen Okojie (OWNER) |
| Authorized Official Contact | 4438033291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolution Health And Wellness Center Po Box 2531 Ellicott City MD 21041-2531 Ph: (443) 803-3291 | Resolution Health And Wellness Center 1401 S Edgewood St Ste 100 Halethorpe MD 21227-1145 Ph: (410) 275-0928 |
| NPI Number | 1952037517 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 4284081498 |
|---|---|
| Medicare Enrollment ID | O20231109002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952037517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Abimbola Idowu Ossai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912607409 PECOS PAC ID: 3971950189 Enrollment ID: I20231109002277 |
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