Organization
UTOPIA OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NA'IMAH FERGUSON CRC, NCC, LGPC (FOUNDER)
(443) 996-5063
Entity
Organization
Contact information
Practice address
5513 BOSWORTH AVE, GWYNN OAK, MD 21207-6865
(443) 996-5063
(410) 448-1636
Mailing address
5513 BOSWORTH AVE, GWYNN OAK, MD 21207-6865
(443) 996-5063
(410) 448-1636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGP3337
MD
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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