Organization
TEMAH HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GBENGA WILLIAMS (ADMINISTRATOR)
(410) 521-8000
Entity
Organization
Contact information
Practice address
50 SCOTT ADAM RD STE 204, COCKEYSVILLE, MD 21030-3295
(410) 521-8000
(410) 655-5826
Mailing address
4320 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5169
(410) 521-8000
(410) 655-5826
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
07/23/2024
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