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1285281535
LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
BALTIMORE, MD
NPI
1285281535
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Entity Type
Organization
Authorized Contact
AISHA AMENRA
President/Owner
443-627-8191
Organization Subpart ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
503 EVERGREEN ST
BALTIMORE, MD 21223-1000
Phone number: 443-627-8191
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Mailing Address
LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
503 EVERGREEN ST
BALTIMORE, MD 21223-1000
Phone number: 443-627-8191
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