| 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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