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1386351815
BRILLIANCE PSYCHIATRY AND WELLNESS
TOWSON, MD
NPI
1386351815
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Entity Type
Organization
Authorized Contact
PEARL R RUCKER
Owner
706-436-7101
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-11-03
Last Update Date
2022-12-27
Business Address
BRILLIANCE PSYCHIATRY AND WELLNESS
1 OLYMPIC PL
TOWSON, MD 21204-4104
Phone number: 443-767-4053
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Mailing Address
BRILLIANCE PSYCHIATRY AND WELLNESS
1443 ROCK SPRING RD UNIT 190
BEL AIR, MD 21014-1920
Phone number: 443-767-4053
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