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PASSIONATE BEHAVIORAL HEALTH CENTER INC NPI 1639716889


NPI Information

NPI: 1639716889
Provider Name: PASSIONATE BEHAVIORAL HEALTH CENTER INC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
19 WALKER AVE STE 304
PIKESVILLE, MD
ZIP 21208
Phone: (443) 213-8242
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PASSIONATE BEHAVIORAL HEALTH CENTER INC is a substance abuse treatment and children substance abuse rehabilitation facility in Pikesville, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PASSIONATE BEHAVIORAL HEALTH CENTER INC NPI is 1639716889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19 WALKER AVE STE 304
PIKESVILLE, MD
ZIP 21208-067
Phone: (443) 213-8242
Fax: (443) 808-0476

The provider's authorized official is Fulai Diom And Stephanie Walinjom .
The authorized official title is Co-owner / Co-founder and has the following contact phone number (443) 213-8243.

The enumeration date for this NPI number is 12/6/2019 and was last updated on 6/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
43245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.