Organization
TEMAH HEALTHCARE SERVICES, LLC
Active
Other names
TEMAH FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE S WILLIAMS CRNP, PMH-BC (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
(410) 521-8000
Entity
Organization
Contact information
Practice address
5310 OLD COURT RD STE 304, RANDALLSTOWN, MD 21133-6202
(410) 521-8000
(410) 655-5826
Mailing address
4320 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5169
(410) 521-8000
(410) 655-5826
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651406500
—
MD
Enumeration date
04/07/2020
Last updated
04/07/2020
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