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Organization
BALM OF GILEAD HEALTH & WELLNESS CENTER, LLC
Active
Organization
BALM OF GILEAD HEALTH & WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINWE M OKUDO (CEO)
(443) 868-7405
Entity
Organization
Contact information
Practice address
5440 BELAIR RD, BALTIMORE, MD 21206-4208
(443) 868-7405
Mailing address
5440 BELAIR RD, BALTIMORE, MD 21206-4208
(443) 868-7405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907716200
—
MD
Enumeration date
05/13/2019
Last updated
04/06/2026
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