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Organization

BALM OF GILEAD HEALTH & WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHINWE M OKUDO DNP, CRNP (MEDICAL DIRECTOR)
(443) 868-7405
Entity
Organization

Contact information

Practice address
5440 BELAIR RD, BALTIMORE, MD 21206-4208
(443) 868-7405
(443) 231-7854
Mailing address
5440 BELAIR RD, BALTIMORE, MD 21206-4208
(443) 868-7405
(443) 231-7854

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114690674
MD
05
1932765146
MD
Enumeration date
07/29/2021
Last updated
04/06/2026
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