MMBR BEHAVIORAL HEALTH SERVICES INC. NPI 1063091965

NPI Information

NPI: 1063091965
Provider Name: MMBR BEHAVIORAL HEALTH SERVICES INC.

Doing Business As: MMBR BEHAVIORAL HEALTH SERVICES INC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3804 S HANOVER ST
BALTIMORE, MD
ZIP 21225
Phone: (301) 655-5086
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MMBR BEHAVIORAL HEALTH SERVICES INC. is a mental health (including community mental health center) clinic center in Baltimore, MD. MMBR BEHAVIORAL HEALTH SERVICES INC. NPI is 1063091965. The provider is registered as an organization entity type.
The provider Is Doing Business As Mmbr Behavioral Health Services Inc.

The provider's business location address is:

3804 S HANOVER ST
BALTIMORE, MD
ZIP 21225
Phone: (301) 655-5086
Fax: (443) 438-3479

The provider's authorized official is Bolakunmi Yusuf .
The authorized official title is Ceo/owner and has the following contact phone number (301) 655-5086.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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