Organization
ABSOLUTE WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA MOSES ESQ (CREDENTIALING ATTORNEY)
(443) 500-3202
Entity
Organization
Contact information
Practice address
3700 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7117
(443) 712-3202
Mailing address
3 WHISPERING CT, OWINGS MILLS, MD 21117-2468
(443) 898-2621
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/12/2020
Last updated
04/23/2024
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