Organization
DIASPORA HEALING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAISHA DAVIS LCSW-C (EXECUTIVE DIRECTOR)
(443) 540-1310
Entity
Organization
Contact information
Practice address
4 GREENWOOD AVE, BALTIMORE, MD 21206-1311
(443) 540-1310
Mailing address
4 GREENWOOD AVE, BALTIMORE, MD 21206-1311
(443) 540-1310
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
07/09/2024
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