# GREATER CHESAPEAKE HEALTH & WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053937573
- **Authorized official:** HARA OYEDEJI CRNP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (732) 768-0386

## Contact information

- **Practice address:** 1900 E NORTHERN PKWY STE T6, BALTIMORE, MD 21239-2120
- **Practice address phone:** (443) 438-6893
- **Practice address fax:** (443) 869-4437
- **Mailing address:** 1900 E NORTHERN PKWY STE T6, BALTIMORE, MD 21239-2120
- **Mailing address phone:** (443) 438-6893
- **Mailing address fax:** (443) 869-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2020
- **Last updated:** 06/20/2020