Organization
THIS GENERATION WILL SUCCEED, LLC
Active
Other names
This Generation Will Succeed Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC T MITCHELL (CEO)
(443) 759-4006
Entity
Organization
Contact information
Practice address
2835 ODONNELL ST STE 203, BALTIMORE, MD 21224-4995
(443) 759-4006
(443) 203-2636
Mailing address
4953 BRISTLE CONE CIR, ABERDEEN, MD 21001-2605
(443) 360-7596
(443) 203-2636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NO NUMBER
MD
Enumeration date
10/30/2020
Last updated
10/30/2020
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