Organization
OPTIMUM WELLNESS CENTER LLC.
Active
Other names
Optimum Wellness Center LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL XAVIER WHITEHEAD (CEO)
(410) 627-3386
Entity
Organization
Contact information
Practice address
3455 WILKENS AVE STE 301, BALTIMORE, MD 21229-5214
(443) 682-8398
(443) 562-1161
Mailing address
3455 WILKENS AVE STE 301, BALTIMORE, MD 21229-5214
(410) 627-3386
(443) 562-1161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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