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Organization
FORTITUDE MENTAL HEALTHCARE SERVICES
Active
Organization
FORTITUDE MENTAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA COUNTEE-JOHNSON (PRESIDENT)
(410) 861-0151
Entity
Organization
Contact information
Practice address
405 N CENTER ST STE 10, WESTMINSTER, MD 21157-5119
(410) 861-0151
Mailing address
405 N CENTER ST STE 10, WESTMINSTER, MD 21157-5119
(410) 861-0151
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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