# CHIDERA HEALTH AND MENTAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1407629116
- **Authorized official:** CLEMENTINA NWANDU CRNP (CEO)
- **Authorized official phone:** (240) 978-7515

## Contact information

- **Practice address:** 14258 OXFORD DR, LAUREL, MD 20707-5854
- **Practice address phone:** (240) 978-7515
- **Mailing address:** 14258 OXFORD DR, LAUREL, MD 20707-5854

## 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:** 11/03/2023
- **Last updated:** 11/03/2023