Organization
MINOR EXPRESSIONS BIG MOMENTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT JOHN ROSE III (CHIEF OPERATING OFFICER)
(443) 909-0982
Entity
Organization
Contact information
Practice address
6221 GREENLEIGH AVE UNIT 266, BALTIMORE, MD 21220-2017
(443) 909-0982
Mailing address
6221 GREENLEIGH AVE UNIT 266, BALTIMORE, MD 21220-2017
(443) 909-0982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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