Organization
EVISION MENTAL HEALTH SERVICES LLC
Active
Parent organization
EVISION MENTAL HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVISION MENTAL HEALTH SERVICES LLC
Authorized official
SHALITA SMITH (OWNER)
(437) 739-2084
Entity
Organization
Contact information
Practice address
1515 MARTIN BLVD STE 102, BALTIMORE, MD 21220-4103
(443) 739-2048
Mailing address
4806 MANTLEWOOD WAY APT 102, ABERDEEN, MD 21001-3646
(443) 739-2084
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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