Organization
INNOVATING MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TORRI LYNN MILLS-RAIKES LCSW-C (SOCIAL WORKER)
(443) 891-4509
Entity
Organization
Contact information
Practice address
1506 BURNWOOD RD, BALTIMORE, MD 21239-3538
(443) 891-4509
Mailing address
1506 BURNWOOD RD, BALTIMORE, MD 21239-3538
(443) 891-4509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13608
MD
Other
Enumeration date
02/02/2012
Last updated
10/02/2012
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