Organization
REDESIGNING MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WISE JR. (CEO)
(443) 882-0110
Entity
Organization
Contact information
Practice address
28 E SUSQUEHANNA AVE STE 202, TOWSON, MD 21286-5218
(443) 882-0110
Mailing address
28 E SUSQUEHANNA AVE STE 202, TOWSON, MD 21286-5218
(443) 882-0110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH001233
—
MD
Enumeration date
10/17/2018
Last updated
10/17/2018
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