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Organization

CENTER FOR COMMUNITY BALANCE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLUWAFEMI SHODIPE (PRESIDENT/CEO)
(410) 615-4312
Entity
Organization

Contact information

Practice address
413 COMMONWEALTH AVE, SUITE #7, CATONSVILLE, MD 21228-3044
(410) 615-4312
Mailing address
413 COMMONWEALTH AVE, SUITE #7, CATONSVILLE, MD 21228-3044

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MH-2061
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2061
APPROVAL NO
MD
Enumeration date
07/18/2016
Last updated
07/18/2016
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