Organization
AXIS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENDALINE NWOBODO (PRESIDENT)
(443) 345-7967
Entity
Organization
Contact information
Practice address
7405 THAMES RIVER DR, HANOVER, MD 21076-1778
(443) 345-7967
Mailing address
7405 THAMES RIVER DR, HANOVER, MD 21076-1778
(443) 345-7967
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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