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Organization

PASSIONATE BEHAVIORAL HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FULAI DIOM AND STEPHANIE WALINJOM (CO-OWNER / CO-FOUNDER)
(443) 213-8243
Entity
Organization

Contact information

Practice address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
Mailing address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
(443) 808-0476

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
225C00000X
Rehabilitation Counselor
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0222X
Critical Care Pediatric Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/06/2019
Last updated
06/24/2025
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