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Organization

ADVANCE INTEGRATED HEALTH, LLC

Active
Other names
AIH Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL SULAIMAN KOROMA CRNP-PMH (OWNER)
(301) 810-4026
Entity
Organization

Contact information

Practice address
101 PAUL MELLON CT STE 5, WALDORF, MD 20602-2761
(301) 810-4026
Mailing address
101 PAUL MELLON CT STE 5, WALDORF, MD 20602-2761
(301) 810-4026

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/24/2021
Last updated
04/30/2026
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