NPI | 1952022238 |
---|---|
Doing Business As | BONTE BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | NGUFOR FUBE DIVINE President 443-230-2285 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-09-06 |
Last Update Date | 2024-07-26 |