Organization
PRINCE OF PEACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELECHI AGUGUO (MANAGER)
(443) 922-8986
Entity
Organization
Contact information
Practice address
5884 BELAIR RD, BALTIMORE, MD 21206-2612
(443) 791-0678
Mailing address
7512 KELSEYS LN, BALTIMORE, MD 21237-3709
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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