Organization
PROCESS OF CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA OHIKU NURSE PRACTITTIONER (DIRECTOR)
(410) 404-7651
Entity
Organization
Contact information
Practice address
1000 INGLESIDE AVE FL 1, CATONSVILLE, MD 21228-1317
(443) 551-3784
(443) 551-3801
Mailing address
1000 INGLESIDE AVE FL 1, CATONSVILLE, MD 21228-1317
(443) 551-3784
(443) 551-3801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
04/17/2019
Last updated
01/29/2026
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