Organization
AZ'UELS COMMUNITY CONNECTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINI'IMAH WILSON MSW (EXECUTIVE DIRECTOR)
(240) 583-0428
Entity
Organization
Contact information
Practice address
1975 SNYDER AVE, DUNDALK, MD 21222-1713
(240) 583-0428
Mailing address
1975 SNYDER AVE, DUNDALK, MD 21222-1713
(240) 583-0428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
08/02/2022
Last updated
08/10/2022
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