Organization
INTEGRAHEALTH LLC
Active
Other names
Autumn Lake Healthcare at Homewood Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL SALAH H SEWARALTHAHAB (CO OWNER)
(410) 323-4423
Entity
Organization
Contact information
Practice address
6000 BELLONA AVE, BALTIMORE, MD 21212-2922
(410) 323-4223
Mailing address
9722 GROFFS MILL DR # 916, OWINGS MILLS, MD 21117-6341
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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