Organization
INNOVATION HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ASAH NKWETTA APRN, PMHNP-BC. (CEO/EXECUTIVE DIRECTOR)
(443) 470-7916
Entity
Organization
Contact information
Practice address
2138 ESPEY CT STE 1, CROFTON, MD 21114-2495
(443) 470-7916
(443) 470-7718
Mailing address
2138 ESPEY CT STE 1, CROFTON, MD 21114-2495
(443) 470-7916
(443) 470-7718
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
04/15/2024
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