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Organization

ACTIVE MINDZ THERAPEUTIC SERVICES

Active
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Organization

ACTIVE MINDZ THERAPEUTIC SERVICES

Active
Other names
Active Mindz Therapeutic Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN CHARLES WILSON LCSW-C (CLINICAL THERAPIST)
(410) 967-6873
Entity
Organization

Contact information

Practice address
205 RIVER WAY CT, #202, OWINGS MILLS, MD 21117-5721
(410) 967-6873
Mailing address
205 RIVER WAY CT APT 202, OWINGS MILLS, MD 21117-5721
(410) 967-6873

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
07/18/2023
Last updated
01/18/2024
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