Organization
PASSIONATE BEHAVIORAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FULAI DIOM (COO)
(443) 213-8243
Entity
Organization
Contact information
Practice address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
(443) 808-0476
Mailing address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
(443) 808-0476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376102970
—
MD
Enumeration date
06/08/2020
Last updated
06/24/2025
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