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Organization
THIS GENERATION WILL SUCCEED, LLC
Active
Organization
THIS GENERATION WILL SUCCEED, LLC
Active
Other names
This Generation Will Succeed Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC T MITCHELL (CEO)
(443) 759-4006
Entity
Organization
Contact information
Practice address
2835 ODONNELL ST STE 203, BALTIMORE, MD 21224-4995
(443) 759-4006
(443) 203-2636
Mailing address
4953 BRISTLE CONE CIR, ABERDEEN, MD 21001-2605
(443) 360-7596
(443) 203-2636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NO NUMBER
MD
Enumeration date
10/30/2020
Last updated
10/30/2020
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