Organization
CENTRA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH AFOLAKE OFOHA (CEO)
(443) 870-0218
Entity
Organization
Contact information
Practice address
9505 REISTERSTOWN RD STE 2SE, OWINGS MILLS, MD 21117-4451
(443) 870-0218
Mailing address
5 ENGLEFIELD SQ, OWINGS MILLS, MD 21117-4410
(443) 870-0218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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