Organization
LOTUS PEDIATRIC-PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES
Active
Parent organization
LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOTUS BEHAVIORAL HEALTH AND REHABILITATION SERVICES INC.
Authorized official
AISHA AMENRA (PRESIDENT/OWNER)
(443) 627-8191
Entity
Organization
Contact information
Practice address
503 EVERGREEN ST, BALTIMORE, MD 21223-1000
(443) 627-8191
(410) 741-3000
Mailing address
503 EVERGREEN ST, BALTIMORE, MD 21223-1000
(443) 627-8191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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