Organization
BALTIMORE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KING AWONUSI II (PRESIDENT)
(410) 428-9563
Entity
Organization
Contact information
Practice address
1013 W LAFAYETTE AVE STE 1, BALTIMORE, MD 21217-2556
(410) 428-9563
Mailing address
1013 W LAFAYETTE AVE STE 1, BALTIMORE, MD 21217-2556
(410) 428-9563
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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