| 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 |