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Organization
EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC
Active
Organization
EXCELLENT HEALTHCARE & PSYCHIATRIC REHABILITATION PROGRAM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNOCENT AKPUAKA (CEO/PRESIDENT)
(410) 984-7411
Entity
Organization
Contact information
Practice address
4000 - 4002 UNIT A W BELVEDERE AVE, BALTIMORE, MD 21215-5502
(410) 304-6544
Mailing address
PO BOX 31699, GWYNN OAK, MD 21207-8699
(410) 984-7411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/08/2022
Last updated
06/14/2022
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