MEDICARE: SINNAI BEHAVIORAL HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1588229744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINNAI BEHAVIORAL HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	3610 MILFORD MILL RD
Second Line	:	2ND FLOOR & 3RD FLOOR
City	:	BALTIMORE
State	:	MD
Zip	:	21244-3330
Country	:	US
Telephone Number	:	410-419-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 MILFORD MILL RD
Second Line	:	2ND FLOOR & 3RD FLOOR
City	:	BALTIMORE
State	:	MD
Zip	:	21244-3330
Country	:	US
Telephone Number	:	410-419-9833
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	PROF. GLADSON NWANNA
Credential	:	PHD
Telephone Number	:	410-419-9833

Provider Enumeration Date	:	05/03/2019
Last Update Date	:	12/04/2025

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