Organization
ARISE & SHINE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN NDOMBI TANTOH DNP, CRNP-PMH (CEO/MEDICAL DIRECTOR)
(443) 466-1476
Entity
Organization
Contact information
Practice address
7452 BALTIMORE ANNAPOLIS BLVD # 200, GLEN BURNIE, MD 21061-3547
(443) 374-5044
Mailing address
7452 BALTIMORE ANNAPOLIS BLVD # 200, GLEN BURNIE, MD 21061-3547
(443) 374-5044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
09/28/2023
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