Organization
ARISE & SHINE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN NDOMBI TANTOH (DIRECTOR)
(443) 466-1476
Entity
Organization
Contact information
Practice address
14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
(443) 466-1476
Mailing address
14 WELLHAM AVE NW, GLEN BURNIE, MD 21061-2200
(443) 466-1476
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
08/18/2026
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