Healthcare Provider Details

I. General information

NPI: 1588229744
Provider Name (Legal Business Name): SINNAI BEHAVIORAL HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 MILFORD MILL RD 2ND FLOOR & 3RD FLOOR
BALTIMORE MD
21244-3330
US

IV. Provider business mailing address

3610 MILFORD MILL RD 2ND FLOOR & 3RD FLOOR
BALTIMORE MD
21244-3330
US

V. Phone/Fax

Practice location:
  • Phone: 410-419-9833
  • Fax:
Mailing address:
  • Phone: 410-419-9833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PROF. GLADSON NWANNA
Title or Position: PRESIDENT AND CEO
Credential: PHD
Phone: 410-419-9833