Organization
GEBAJ MENTAL HEALTH AND CORE SERVICES CLINIC, INC
Active
Other names
GEBAJ MENTAL HEALTH AND CORE SERVICES CLINIC, INC
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL E. FOMANKA PMHNP (CEO/OWNER)
(443) 520-8138
Entity
Organization
Contact information
Practice address
6200 BALTIMORE AVE, #300-R9, RIVERDALE, MD 20737-1054
(240) 930-0811
(443) 272-7756
Mailing address
6200 BALTIMORE AVE, 300-R9, RIVERDALE, MD 20737-1054
(240) 930-0811
(443) 272-7756
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/12/2024
Last updated
09/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us