Organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHIAS C BAMA (CEO)
(301) 837-8493
Entity
Organization
Contact information
Practice address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Mailing address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
(301) 483-3336
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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