Organization
BIG VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUOCHI IWEALA CLINICIAN (CEO)
(410) 205-3120
Entity
Organization
Contact information
Practice address
4324 REISTERSTOWN RD, BALTIMORE, MD 21215-6733
(410) 205-3120
Mailing address
52 CARDINAL CT, ESSEX, MD 21221-5870
(410) 205-3120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/01/2024
Last updated
02/23/2026
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