Organization
DEBOCARE WELLNESS SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOMAR MBOUP (OWNER)
(443) 682-3984
Entity
Organization
Contact information
Practice address
8515 LOCH RAVEN BLVD, BALTIMORE, MD 21286-2302
(443) 682-3984
Mailing address
8515 LOCH RAVEN BLVD, BALTIMORE, MD 21286-2302
(443) 682-3984
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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