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Organization
PHAT FUTURE MINDS HEALTHCARE SERVICES
Active
Organization
PHAT FUTURE MINDS HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY JEROME JOHNSON SR. JOHNSON (CEO)
(443) 717-8645
Entity
Organization
Contact information
Practice address
1245 EASTERN BLVD, ESSEX, MD 21221-3422
(443) 717-8645
(443) 717-8645
Mailing address
1245 EASTERN BLVD, ESSEX, MD 21221-3422
(443) 717-8645
(443) 717-8645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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