Organization
PASSIONATE BEHAVIORAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FULAI DIOM (COO)
(443) 213-8243
Entity
Organization
Contact information
Practice address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8242
(443) 808-0476
Mailing address
2700 LOCH RAVEN RD, BALTIMORE, MD 21218-4729
(443) 213-8242
(443) 808-0476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2019
Last updated
06/24/2025
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