Organization
ELYSIUM, LLC
Active
Other names
Elysium, Elysium Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BOWEN (OWNER)
(443) 243-3020
Entity
Organization
Contact information
Practice address
210 COLGATE DR, FOREST HILL, MD 21050-1343
(443) 243-3020
Mailing address
210 COLGATE DR, FOREST HILL, MD 21050-1343
(443) 243-3020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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