NPI 1003565979

Mind Over Matter Health Services, INC

Organisation Community/Behavioral Health Agency Randallstown, MD

Practice location

Address: 10016 Marriottsville Rd, Randallstown, MD 21133-1502
Phone: (443) 405-1095

Authorised official

Name: Asia Johnson
Title: Practitioner/Administrator
Phone: (410) 982-1353

Registered specialties (7)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Community Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QC1500X

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Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X

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Registry record

NPI: 1003565979
Entity type: Organization
NPI issued: 19 Mar 2022
Record last updated: 19 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.