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1376287557
REVITALIZE MENTAL HEALTH CENTER LLC
BALTIMORE, MD
NPI
1376287557
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Entity Type
Organization
Authorized Contact
TASHA NICOLE OUTLAW
Owner
443-354-2162
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2022-04-25
Last Update Date
2023-01-25
Business Address
REVITALIZE MENTAL HEALTH CENTER LLC
145 W OSTEND ST STE 505
BALTIMORE, MD 21230-3764
Phone number: 443-354-2162
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Mailing Address
REVITALIZE MENTAL HEALTH CENTER LLC
145 W OSTEND ST STE 505
BALTIMORE, MD 21230-3764
Phone number: 443-354-2162
Copy
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