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General NPI Number Information
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NPI Number | 1407769672
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Entity Type | Organization
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Legal Business Name | NENNY COMMUNITY SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 1644 N FULTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1632
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Country | US
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Telephone | 443-679-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 N FULTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21217-1632
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Country | US
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Telephone | 443-679-2212
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MS. NNENNA DORATHY EZEH
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Credential | MSW, BSW, CSC-AD,
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Telephone | 443-679-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State | NULL
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