| Equanimity Integrated Behavioral Health & Wellness Llc | |
|
7500 Harford Rd Ste 1 Parkville MD 21234-6900 | |
| (443) 708-8139 | |
| (240) 241-6360 |
| Full Name | Equanimity Integrated Behavioral Health & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7500 Harford Rd Ste 1, Parkville, Maryland |
| Authorized Official Name and Position | Reginald Eugene Degrafenreid (OWNER) |
| Authorized Official Contact | 4437088139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equanimity Integrated Behavioral Health & Wellness Llc 7500 Harford Rd Ste 1 Parkville MD 21234-6900 Ph: (443) 708-8139 | Equanimity Integrated Behavioral Health & Wellness Llc 7500 Harford Rd Ste 1 Parkville MD 21234-6900 Ph: (443) 708-8139 |
| NPI Number | 1235888157 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/18/2022 |
| Certification Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235888157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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