Organization
WINCHESTER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIEL CHICHEPORTICHE (PROGRAM SPONSOR)
(410) 484-8500
Entity
Organization
Contact information
Practice address
1315 BLOOMINGDALE RD, BALTIMORE, MD 21216-3922
(410) 624-7111
Mailing address
2833 SMITH AVE STE 148, BALTIMORE, MD 21209-1426
(410) 258-8939
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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