Organization
NIMEL MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSUNMOLA SANDRA LAKE (MANAGER)
(301) 272-1558
Entity
Organization
Contact information
Practice address
1004 LITTLESTOWN PIKE STE A1, WESTMINSTER, MD 21157-3042
(410) 386-1180
(410) 386-1185
Mailing address
10801 GREEN ASH LN, BELTSVILLE, MD 20705-3851
(301) 263-4890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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