Organization
CHESAPEAKE INTEGRATIVE MENTAL HEALTH AND ADDICTIONS TREATMENT, INC.
Active
Other names
CIMHAT, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MICHEALENA LOPEZ CRNP, PMHNP-BC (PRESIDENT)
(443) 466-2027
Entity
Organization
Contact information
Practice address
46 WILSON RD, RISING SUN, MD 21911-2213
(443) 466-2027
Mailing address
46 WILSON RD, RISING SUN, MD 21911-2213
(443) 466-2027
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R183798
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP013140
PA
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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