| NPI | 1053719575 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH CLINIC (BHC) |
| Entity Type | Organization |
| Authorized Contact | NAG NELLURI President 443-995-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD 905397) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD 905397) |
| 261QC1500X Clinic/Center, Community Health (Licence: MD 905397) | |
| 261QH0100X Clinic/Center, Health Services (Licence: MD 905397) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 905397) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: MD 905397) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 905397) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2016-05-25 |