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Organization
BREAKTHROUGH MENTAL HEALTH AND WELLNESS CENTER LLC
Active
Organization
BREAKTHROUGH MENTAL HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEYENNE COOPER (CEO)
(240) 650-5769
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
(240) 650-5769
Mailing address
7310 RITCHIE HWY STE 200, GLEN BURNIE, MD 21061-3065
(240) 650-5769
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/04/2024
Last updated
03/05/2024
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