Organization
AVAWELL, LLC
Active
Other names
Mindset Support Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES OMOTOSHO (OWNER)
(443) 992-5088
Entity
Organization
Contact information
Practice address
1308 BUSINESS CENTER WAY STE 101, EDGEWOOD, MD 21040-1504
(443) 992-5088
Mailing address
1308 BUSINESS CENTER WAY STE 101, EDGEWOOD, MD 21040-1504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MD
Other
Enumeration date
07/03/2017
Last updated
11/09/2022
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