NPI | 1407638687 |
---|---|
Other Name | MIND4CONCEPTS HEALTHCARE |
Entity Type | Organization |
Authorized Contact | MICHELLE F GILLIAM CEO 410-801-8828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251S00000X Community/Behavioral Health | |
101YP2500X Counselor, Professional | |
103TC1900X Psychologist, Counseling | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2300X Clinic/Center, Primary Care | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-10-20 |
Last Update Date | 2025-06-05 |