# REHOBOTH HEALTHCARE AND BEHAVIORAL SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760165088
- **Authorized official:** NJIDEKA EMENYI DNP, PMHNP-BC, FNP-C (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 821-0717

## Contact information

- **Practice address:** 419 MALCOLM DR STE A, WESTMINSTER, MD 21157-6130
- **Practice address phone:** (443) 821-0717
- **Practice address fax:** (443) 821-0720
- **Mailing address:** 735 BLUE MOON LN, WESTMINSTER, MD 21157-7059
- **Mailing address phone:** (443) 821-0717
- **Mailing address fax:** (443) 821-0720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 11/18/2024