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Organization

J & A POSITIVE IMAGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE KIHIKO (EXECUTIVE DIRECTOR)
(443) 370-5372
Entity
Organization

Contact information

Practice address
6755 BUSINESS PKWY, SUITE 102, ELKRIDGE, MD 21075-6753
(443) 370-5372
(410) 796-1410
Mailing address
6755 BUSINESS PKWY, SUITE 102, ELKRIDGE, MD 21075-6753
(443) 370-5372
(410) 796-1410

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH2225
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MH2225
MD

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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