Provider Demographics
NPI:1407689698
Name:HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Entity type:Organization
Organization Name:HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMDEM-SANGO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:443-354-4477
Mailing Address - Street 1:115 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3013
Mailing Address - Country:US
Mailing Address - Phone:443-354-4477
Mailing Address - Fax:443-354-4666
Practice Address - Street 1:115 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3013
Practice Address - Country:US
Practice Address - Phone:443-354-4477
Practice Address - Fax:443-354-4666
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH PLUS BEHAVIORAL AND PRIMARY CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)