| Mazwi Holistic Institute Inc | |
|
1705 W Fayette St Baltimore MD 21223-1708 | |
| (443) 282-8949 | |
| (410) 947-5306 |
| Full Name | Mazwi Holistic Institute Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1705 W Fayette St, Baltimore, Maryland |
| Authorized Official Name and Position | Angel Mazwi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4432828949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazwi Holistic Institute Inc 1705 W Fayette St Baltimore MD 21223-1708 Ph: (410) 947-1700 | Mazwi Holistic Institute Inc 1705 W Fayette St Baltimore MD 21223-1708 Ph: (443) 282-8949 |
| NPI Number | 1376180398 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/02/2024 |
| Certification Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376180398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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