Organization
MINDS FIRST BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANE GANHYM (PRESIDENT)
(240) 601-1432
Entity
Organization
Contact information
Practice address
8612 FIRE ROCK RD, LAUREL, MD 20724-1990
(240) 601-1432
Mailing address
8612 FIRE ROCK RD, LAUREL, MD 20724-1990
(240) 601-1432
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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