A3 Healthcare LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Essex, MD. Organization (NPI-2).
NPI number1902564552
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1902564552
- Entity type
- Organization (NPI-2)
- Legal business name
- A3 Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
1203 Maritime CirEssex, MD 21221-6099
Phone 443-600-4202
Mailing address
1203 Maritime CirEssex, MD 21221-6099
Phone 443-600-4202
Authorized official
Godsgift E Nya
President
4436004202
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