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Organization
AULTIMATE DIMENSION BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
AULTIMATE DIMENSION BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTINE ANAKARAONYE PMHNP (OWNER)
(443) 400-3244
Entity
Organization
Contact information
Practice address
330 W 24TH ST, BALTIMORE, MD 21211-3216
(443) 400-3244
Mailing address
330 W 24TH ST, BALTIMORE, MD 21211-3216
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
03/02/2023
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