Organization
EMROS BEHAVIORAL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL KWABLA FIASORGBOR NP (PSYCHIATRIC NURSE PRACTITONER)
(443) 655-9931
Entity
Organization
Contact information
Practice address
700 HENDERSON RD, BEL AIR, MD 21014-2515
(443) 655-9931
(410) 638-1912
Mailing address
700 HENDERSON RD, BEL AIR, MD 21014-2515
(443) 655-9931
(410) 638-1912
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791275
—
MD
Enumeration date
05/12/2020
Last updated
05/12/2020
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