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Organization
LUNA BEHAVIORAL HEALTH, LLC
Active
Organization
LUNA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INNA RADAMS CRNP-PMH (NURSE PRACTITIONER)
(443) 622-6600
Entity
Organization
Contact information
Practice address
12319 GARRISON FOREST RD, OWINGS MILLS, MD 21117-1107
(443) 622-6600
Mailing address
12319 GARRISON FOREST RD, OWINGS MILLS, MD 21117-1107
(443) 622-6600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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