Organization
EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS
Active
Other names
Equanimity Integrated Behavioral Health & Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD EUGENE DEGRAFENREID JR. CRNP, PMHNP-BC, FNP- (OWNER)
(443) 708-8139
Entity
Organization
Contact information
Practice address
1001 CROMWELL BRIDGE RD STE 100, TOWSON, MD 21286-3329
(443) 251-2100
(240) 241-6360
Mailing address
7500 HARFORD RD STE 1, PARKVILLE, MD 21234-6900
(443) 251-2100
(240) 241-6360
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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