Sankofa Llc | |
801 Key Hwy Unit 442 Baltimore MD 21230-3976 | |
(301) 758-3682 | |
Not Available |
Full Name | Sankofa Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 801 Key Hwy, Baltimore, Maryland |
Authorized Official Name and Position | Terry J White (OWNER) |
Authorized Official Contact | 3017583682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sankofa Llc 801 Key Hwy Unit 442 Baltimore MD 21230-3976 Ph: (301) 758-3682 | Sankofa Llc 801 Key Hwy Unit 442 Baltimore MD 21230-3976 Ph: (301) 758-3682 |
NPI Number | 1003200924 |
---|---|
Provider Enumeration Date | 03/28/2015 |
Last Update Date | 03/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003200924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 17157 (Maryland) | Primary |
253J00000X | Foster Care Agency | 0896 (Maryland) | Secondary |
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