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Organization
MASS MENTAL HEALTH FOUNDATION
Active
Organization
MASS MENTAL HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FATIMA DISU (PRESIDENT)
(410) 299-0875
Entity
Organization
Contact information
Practice address
6041 BRISTOL PKWY STE 100, CULVER CITY, CA 90230-6601
(443) 808-0537
Mailing address
2555 MADISON AVE, BALTIMORE, MD 21217-4041
(443) 808-0537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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