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Organization
REHOBOTH HEALTHCARE AND BEHAVIORAL SERVICES
Active
Organization
REHOBOTH HEALTHCARE AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NJIDEKA EMENYI DNP, PMHNP-BC, FNP-C (MEDICAL DIRECTOR)
(443) 821-0717
Entity
Organization
Contact information
Practice address
419 MALCOLM DR STE A, WESTMINSTER, MD 21157-6130
(443) 821-0717
(443) 821-0720
Mailing address
735 BLUE MOON LN, WESTMINSTER, MD 21157-7059
(443) 821-0717
(443) 821-0720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
11/18/2024
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