Organization
INNOVATION HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NKWETTA (OWNER)
(443) 470-7916
Entity
Organization
Contact information
Practice address
2138 ESPEY CT STE 1, CROFTON, MD 21114-2495
(443) 470-7916
(443) 470-7718
Mailing address
2138 ESPEY CT STE 1, CROFTON, MD 21114-2495
(443) 470-7916
(443) 470-7718
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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