Organization · NPI-2

Arise & Shine Health Center LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Glen Burnie, MD

NPI number1972102309
StatusActive
Last updated in NPPESOct 17, 2020

Details

NPI
1972102309
Entity type
Organization (NPI-2)
Legal business name
Arise & Shine Health Center LLC
Organization subpart
No
Enumeration date
Oct 17, 2020
Certification date
Oct 17, 2020
Last updated
Oct 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2301 Dorsey Rd Ste 208
Glen Burnie, MD 21061-3275

Phone 443-466-1476

Mailing address

2301 Dorsey Rd Ste 208
Glen Burnie, MD 21061-3275

Authorized official

Vivian Ndombi Tantoh
Director
4434661476

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