Organization
HELEN KUMOLALO
Active
Parent organization
GILGAL GROUP PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GILGAL GROUP PA
Authorized official
HELEN KUMOLALO (CRNP)
(443) 631-4318
Entity
Organization
Contact information
Practice address
5205 EAST DR STE H, HALETHORPE, MD 21227-2403
(410) 242-0423
(410) 242-0459
Mailing address
5205 EAST DR STE H, HALETHORPE, MD 21227-2403
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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