Organization
INNOVATION HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ASAH NKWETTA MSN, APRN, PMHNP-BC, (CEO/DIRECTOR)
(240) 645-8864
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
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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