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NPI Code Detail

MEDICARE: PROCESS OF CHANGES

MEDICARE: PROCESS OF CHANGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1275174872
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROCESS OF CHANGES
Provider Business Mailing Address
First Line : 1000 INGLESIDE AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21228-1317
Country : US
Telephone Number : 443-404-7651
Fax Number : 443-551-3801
Provider Business Practice Location Address
First Line : 1000 INGLESIDE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1317
Country : US
Telephone Number : 443-551-3784
Fax Number : 443-551-3801
Authorized Official
Title or Position : OWNER
Name : MRS. PAULA OHIKU
Credential :
Telephone Number : 410-404-7651
Provider Enumeration Date : 10/04/2019
Last Update Date : 05/18/2026

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Directions to “PROCESS OF CHANGES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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