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Organization

TOTAL WELLNESS MENTAL HEALTH CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA EKWUTIFE (PRESIDENT)
(443) 895-0898
Entity
Organization

Contact information

Practice address
2504 HIGHCREST CT, MANCHESTER, MD 21102-1413
(443) 895-0898
Mailing address
2504 HIGHCREST CT, MANCHESTER, MD 21102-1413
(443) 895-0898

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
10/31/2023
Last updated
10/31/2023
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