Organization
PEAKE HEALTH AND WELLNESS LLC
Active
Other names
Peake Health and Wellness Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG WHITE (MANAGING PARTNER)
(301) 383-3331
Entity
Organization
Contact information
Practice address
2449 SHIRLEY AVE, BALTIMORE, MD 21215-7015
(301) 408-6372
Mailing address
10362 LOMBARDI DR, ELLICOTT CITY, MD 21042-2150
(301) 383-3331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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