Healthcare Provider Details
I. General information
NPI: 1952839474
Provider Name (Legal Business Name): EF MENTAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/28/2017
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2222 N HOWARD ST STE B
BALTIMORE MD
21218-5609
US
IV. Provider business mailing address
14625 BALTIMORE AVE STE 244
LAUREL MD
20707-4902
US
V. Phone/Fax
- Phone: 410-624-5037
- Fax: 800-405-6914
- Phone: 913-226-9499
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ARTHUR
R
GRIFFIN
JR.
Title or Position: OWNER
Credential: MBA, MISE, ALM
Phone: 913-226-9499