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Organization
ARTGEVITY LLC
Active
Organization
ARTGEVITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKIA AYANA EVANS MBA (CEO & OWNER)
(410) 937-7897
Entity
Organization
Contact information
Practice address
1566 HARFORD SQUARE DRIVE, EDGEWOOD, MD 21040
(410) 937-7897
Mailing address
1566 HARFORD SQUARE DRIVE, EDGEWOOD, MD 21040
(410) 937-7897
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/16/2023
Last updated
11/09/2023
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