Organization
EQUANIMITY INTEGRATED BEHAVIORAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD EUGENE DEGRAFENREID (OWNER)
(443) 708-8139
Entity
Organization
Contact information
Practice address
7500 HARFORD RD STE 1, PARKVILLE, MD 21234-6900
(443) 708-8139
Mailing address
7500 HARFORD RD STE 1, PARKVILLE, MD 21234-6900
(443) 708-8139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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