Organization
HEALTHY MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUETTE JACOBS (CEO)
(240) 468-8476
Entity
Organization
Contact information
Practice address
9114 PHILADELPHIA RD STE 106, ROSEDALE, MD 21237-4346
(240) 443-8255
Mailing address
9114 PHILADELPHIA RD STE 106, ROSEDALE, MD 21237-4346
(240) 443-8255
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/10/2023
Last updated
09/06/2023
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