Organization
KEEPING MINDZ FOCUSED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY JEREL WILSON (CEO)
(443) 814-9177
Entity
Organization
Contact information
Practice address
2036 W NORTH AVE STE B, BALTIMORE, MD 21217-1220
(443) 841-9177
Mailing address
2036 W NORTH AVE, BALTIMORE, MD 21217-1220
(443) 841-9177
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
INSURANCE
—
MD
Enumeration date
10/13/2022
Last updated
10/13/2022
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