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Organization

PASSIONATE BEHAVIORAL HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FULAI DIOM (COO)
(443) 213-8243
Entity
Organization

Contact information

Practice address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
(443) 808-0476
Mailing address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8243
(443) 808-0476

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
163W00000X
Registered Nurse
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225C00000X
Rehabilitation Counselor
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
06/07/2019
Last updated
06/24/2025
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