Organization
KSU WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SMITH (CO-OWNER)
(410) 340-3970
Entity
Organization
Contact information
Practice address
106 W 25TH ST STE 1, BALTIMORE, MD 21218-5040
(410) 340-3970
Mailing address
106 W 25TH ST STE 1, BALTIMORE, MD 21218-5040
(410) 340-3970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
10/04/2024
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