Organization
MIND OVER MATTER HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA JOHNSON (CEO)
(410) 982-1353
Entity
Organization
Contact information
Practice address
616 OLD EDMONDSON AVE, CATONSVILLE, MD 21228-3312
(443) 405-1095
Mailing address
2001 FITZWARREN PL APT T1, BALTIMORE, MD 21209-4956
(410) 982-1353
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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