Organization
MPPANDC LLC
Active
Other names
Mindful Pivots For The SOAP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICKIARA TYSON (EXECUTIVE DIRECTOR)
(443) 531-0226
Entity
Organization
Contact information
Practice address
111 W MONUMENT ST, BALTIMORE, MD 21201-4707
(443) 531-0226
Mailing address
3305 THE ALAMEDA, BALTIMORE, MD 21218-3008
(443) 531-0226
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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