Organization
MMBR BEHAVIORAL HEALTH SERVICES INC
Active
Other names
MMBR INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOLAKUNMI YUSUF (MANAGER)
(443) 438-3457
Entity
Organization
Contact information
Practice address
3804 S.HANOVER ST, BROOKLYN, MD 21225
(443) 438-3457
Mailing address
3804 S. HANOVER ST, BROOKLYN, MD 21225
(443) 438-3457
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016555086
—
MD
Enumeration date
03/26/2021
Last updated
01/18/2024
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