Organization
IAMA CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KWAJERA JACKSON LCSW-C (FOUNDER)
(443) 272-1526
Entity
Organization
Contact information
Practice address
1325 BEDFORD AVE UNIT 5704, PIKESVILLE, MD 21282-7501
(443) 272-1526
Mailing address
1325 BEDFORD AVE UNIT 5704, PIKESVILLE, MD 21282-7501
(443) 272-1526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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