Organization
GRACELAND PSYCHIATRY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRAH OKOLUKU CRNP (CEO)
(443) 720-9292
Entity
Organization
Contact information
Practice address
2137 STREAMWAY CT, GWYNN OAK, MD 21207-6093
(443) 720-9292
Mailing address
2137 STREAMWAY CT, GWYNN OAK, MD 21207-6093
(443) 720-9292
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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