Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY M NGONA PMHNP (OWNER)
(443) 465-9958
Entity
Organization
Contact information
Practice address
308 CRAIN HWY N, GLEN BURNIE, MD 21061-3090
(667) 232-1220
Mailing address
308 CRAIN HWY N, GLEN BURNIE, MD 21061-3090
(667) 232-1220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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