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Organization
MOONLIGHT HEALTH PARTNERS, LLC
Active
Organization
MOONLIGHT HEALTH PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOVITA NWAUGWU MSN AGPCNP-BC (PROGRAM DIRECTOR)
(443) 514-8302
Entity
Organization
Contact information
Practice address
802 HARLEM AVE, BALTIMORE, MD 21201-1407
(443) 514-8302
Mailing address
7701 BELAIR RD, NOTTINGHAM, MD 21236-4005
(443) 514-8302
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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