Organization
PARADISE OMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO CHERNYAKHOVSKY LCSW-C (MANAGING PARTNER)
(877) 277-3710
Entity
Organization
Contact information
Practice address
7902 BELAIR RD, NOTTINGHAM, MD 21236-3728
(443) 938-4401
Mailing address
7902 BELAIR RD, NOTTINGHAM, MD 21236-3728
(443) 938-4401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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