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General NPI Number Information
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NPI Number | 1972431963
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Entity Type | Organization
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Legal Business Name | PASSIONATE BEHAVIORAL HEALTH CENTER INC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 2645 OCEAN AVE STE 209
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-1646
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Country | US
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Telephone | 443-929-9923
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 LOCH RAVEN RD
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City | BALTIMORE
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State | MD
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Zip | 21218-4729
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | FULAI DIOM
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Credential |
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Telephone | 443-929-9923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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