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Organization
FOR THE HEALING OF THE NATIONS LLC
Active
Organization
FOR THE HEALING OF THE NATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE M MATSKO LCSW-C (OWNER)
(443) 717-0130
Entity
Organization
Contact information
Practice address
3635 OLD COURT RD STE 305, PIKESVILLE, MD 21208-3907
(443) 717-0130
(443) 327-4753
Mailing address
3635 OLD COURT RD STE 305, PIKESVILLE, MD 21208-3907
(443) 717-0130
(410) 630-1008
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105778200
—
MD
01
—
CX87-0001
CAREFIRST BLUE CROSS
MD
Enumeration date
09/19/2017
Last updated
10/23/2019
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