Organization
PROCESS OF CHANGES
Active
Other names
process of changes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA OHIKU CRNP (OWNER)
(410) 404-7651
Entity
Organization
Contact information
Practice address
1000 INGLESIDE AVE FL 1, CATONSVILLE, MD 21228-1317
(410) 404-7651
(443) 551-3801
Mailing address
1000 INGLESIDE AVE FL 1, CATONSVILLE, MD 21228-1317
(410) 404-7651
(443) 551-3801
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
01/29/2026
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