# FUBE ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonte Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952022238
- **Authorized official:** MR. NGUFOR FUBE DIVINE CRNP-PMH (PRESIDENT)
- **Authorized official phone:** (443) 230-2285

## Contact information

- **Practice address:** 8210 JEREMIAH LN, COLUMBIA, MD 21044-4165
- **Practice address phone:** (443) 230-2285
- **Practice address fax:** (301) 368-6675
- **Mailing address:** 8210 JEREMIAH LN, COLUMBIA, MD 21044-4165
- **Mailing address phone:** (443) 230-2285
- **Mailing address fax:** (301) 368-6675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 07/26/2024