| Revitalize Mental Health Center Llc | |
|
145 W Ostend St Ste 505 Baltimore MD 21230-3764 | |
| (443) 354-2162 | |
| Not Available |
| Full Name | Revitalize Mental Health Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 W Ostend St Ste 505, Baltimore, Maryland |
| Authorized Official Name and Position | Tasha Nicole Outlaw (OWNER) |
| Authorized Official Contact | 4433542162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revitalize Mental Health Center Llc 145 W Ostend St Ste 505 Baltimore MD 21230-3764 Ph: (443) 354-2162 | Revitalize Mental Health Center Llc 145 W Ostend St Ste 505 Baltimore MD 21230-3764 Ph: (443) 354-2162 |
| NPI Number | 1376287557 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376287557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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