Organization
ARISE & SHINE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN NDOMBI TANTOH (DIRECTOR)
(443) 466-1476
Entity
Organization
Contact information
Practice address
2301 DORSEY RD STE 208, GLEN BURNIE, MD 21061-3275
(443) 466-1476
Mailing address
2301 DORSEY RD STE 208, GLEN BURNIE, MD 21061-3275
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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