Organization
KENAH ONE HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETTY M NGONA (CEO)
(443) 465-9958
Entity
Organization
Contact information
Practice address
430 ROSECROFT TER, BALTIMORE, MD 21229-4136
(667) 232-1220
(443) 288-4808
Mailing address
7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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