| Kenah One Health Care Services, Llc | |
|
7310 Ritchie Hwy Ste 612 Glen Burnie MD 21061-3291 | |
| (667) 232-1220 | |
| (443) 288-4808 |
| Full Name | Kenah One Health Care Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7310 Ritchie Hwy Ste 612, Glen Burnie, Maryland |
| Authorized Official Name and Position | Ketty M Ngona (CEO) |
| Authorized Official Contact | 4434659958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenah One Health Care Services, Llc 7310 Ritchie Hwy Ste 612 Glen Burnie MD 21061-3291 Ph: (667) 232-1220 | Kenah One Health Care Services, Llc 7310 Ritchie Hwy Ste 612 Glen Burnie MD 21061-3291 Ph: (667) 232-1220 |
| NPI Number | 1104530641 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104530641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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