NPI: 1750036893
Provider Name: VICTORIOUS MENTAL HEALTHCARE LLC
Other Name: VICTORIOUS PRP
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Address:
2901 DRUID PARK DR STE A202
BALTIMORE, MD
ZIP 21215
Phone: (410) 488-5171
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VICTORIOUS MENTAL HEALTHCARE LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Baltimore, MD. VICTORIOUS MENTAL HEALTHCARE LLC NPI is 1750036893. The provider is registered as an organization entity type.
The provider Other Name Is Victorious Prp.
The provider's business location address is:
2901 DRUID PARK DR STE A202
BALTIMORE, MD
ZIP 21215-131
Phone: (410) 488-5171
Fax: (410) 488-5173
The provider's authorized official is Bosede O Adetunji Idowu .
The authorized official title is Owner and has the following contact phone number (443) 540-0338.
The enumeration date for this NPI number is 2/17/2022 and was last updated on 3/3/2022.