Organization
OPTIMUM WELLNESS CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL XAVIER WHITEHEAD (CEO)
(410) 627-3386
Entity
Organization
Contact information
Practice address
3455 WILKENS AVE STE 301, BALTIMORE, MD 21229-5214
(410) 644-1053
Mailing address
3455 WILKENS AVE STE 301, BALTIMORE, MD 21229-5214
(410) 644-1053
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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