| Breakthrough Behavioral Health Services Llc | |
|
10 W Eager St Ste 324 Baltimore MD 21201-5743 | |
| (443) 445-0536 | |
| Not Available |
| Full Name | Breakthrough Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 W Eager St Ste 324, Baltimore, Maryland |
| Authorized Official Name and Position | Francis Oduah (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4434450536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Behavioral Health Services Llc 10 W Eager St Ste 324 Baltimore MD 21201-5743 Ph: (443) 445-0536 | Breakthrough Behavioral Health Services Llc 10 W Eager St Ste 324 Baltimore MD 21201-5743 Ph: (443) 445-0536 |
| NPI Number | 1538760657 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 01/28/2023 |
| Medicare PECOS PAC ID | 1850777962 |
|---|---|
| Medicare Enrollment ID | O20220927002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538760657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Francis Oduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180727 PECOS PAC ID: 8325340631 Enrollment ID: I20160104001779 |
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