| 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 | 2022-09-27 |