Canrina Nurturing Minds Behavioral Health Care LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Hyattsville, MD. Organization (NPI-2).
NPI number1134837735
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1134837735
- Entity type
- Organization (NPI-2)
- Legal business name
- Canrina Nurturing Minds Behavioral Health Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2022
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
7707 Swan TerHyattsville, MD 20785-4680
Phone 240-305-8915
Mailing address
7707 Swan TerHyattsville, MD 20785-4680
Phone 240-305-8915
Authorized official
Canicia Anyiatem
Provider
2403058915
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