Organization
PINNACLE ENRICHMENT HEALTHCARE SERVICES, LLC
Active
Other names
Pinnacle Enrichment Healthcare Services,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON V JOHNSON (OWNER)
(901) 270-8002
Entity
Organization
Contact information
Practice address
7700 OLD BRANCH AVE STE E101, CLINTON, MD 20735-1628
(301) 877-1400
(301) 576-7968
Mailing address
7700 OLD BRANCH AVE STE E101, CLINTON, MD 20735-1628
(301) 877-1400
(301) 576-7968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130016401
—
MD
Enumeration date
09/11/2015
Last updated
08/02/2024
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