NPI | 1497349997 |
---|---|
Doing Business As | BLUE SPRING WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | HOTENESIA NJOROGE Medical Director 410-456-5812 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-02-24 |
Last Update Date | 2021-03-03 |