Kenah One Health Care Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Glen Burnie, MD. Organization (NPI-2).
NPI number1104530641
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1104530641
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenah One Health Care Services, LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Jan 8, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
7310 Ritchie Hwy Ste 612Glen Burnie, MD 21061-3291
Phone 667-232-1220 · Fax 443-288-4808
Mailing address
7310 Ritchie Hwy Ste 612Glen Burnie, MD 21061-3291
Phone 667-232-1220 · Fax 443-288-4808
Authorized official
Ketty M Ngona
Ceo
4434659958
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