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Organization

INTEGRAHEALTH LLC

Active
Other names
Ellicott City Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
KAMAL SALAH H SEWARALTHAHAB (CO-OWNER)
(410) 461-7577
Entity
Organization

Contact information

Practice address
3000 N RIDGE RD, ELLICOTT CITY, MD 21043-3311
(410) 461-7577
Mailing address
9722 GROFFS MILL DR # 916, OWINGS MILLS, MD 21117-6341
(410) 870-9380

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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