# BALM OF GILEAD HEALTH & WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1952284044
- **Authorized official:** CHINWE M OKUDO DNP (MEDICAL DIRECTOR)
- **Authorized official phone:** (443) 868-7405

## Contact information

- **Practice address:** 5440 BELAIR RD, BALTIMORE, MD 21206-4208
- **Practice address phone:** (443) 868-7405
- **Mailing address:** 5440 BELAIR RD, BALTIMORE, MD 21206-4208
- **Mailing address phone:** (443) 868-7405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 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:** 07/28/2025
- **Last updated:** 07/28/2025