Organization
ONE STOP WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIFAT RAIMI (PRESIDENT)
(347) 455-1225
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(347) 455-1225
(410) 701-7292
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(347) 455-1225
(410) 701-7292
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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