Organization
ACE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELINE IWEANYA CRNP-PMH (PROGRAM DIRECTOR)
(702) 583-0241
Entity
Organization
Contact information
Practice address
4774 BONNIE BRAE RD, PIKESVILLE, MD 21208-2019
(702) 583-0241
Mailing address
4774 BONNIE BRAE RD, PIKESVILLE, MD 21208-2019
(702) 583-0241
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/28/2024
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