Organization
TIFFANY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN EDOZIE (PRESIDENT)
(443) 509-7036
Entity
Organization
Contact information
Practice address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(443) 509-7036
Mailing address
100 WEST RD STE 300, TOWSON, MD 21204-2370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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