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Authentic Release Inc
Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, Maryland
NPI 1720869548

Authentic Release Inc is a Psychiatric/Mental Health Nurse Practitioner based in Glen Burnie, MD and is specialized in Psychiatric/Mental Health. Authentic Release Inc practices in Glen Burnie, MD. The NPI Number for Authentic Release Inc is 1720869548 and holds a License No. (Maryland).

The current practice location address for Authentic Release Inc is 1406B Crain Hwy S Ste 306, Glen Burnie, MD and can be reached out via phone at 301-804-0344 and via fax at 301-349-1370.

Location: 1406B Crain Hwy S Ste 306, Glen Burnie, MD, 21061-4094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720869548
Provider Name
Authentic Release Inc
Credential
Provider Entity Type
Organization
Address
1406B Crain Hwy S Ste 306, Glen Burnie, MD, 21061-4094
Phone Number
301-804-0344
Fax Number
301-349-1370
Provider Enumeration Date
10/09/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1406B Crain Hwy S Ste 306
City
Glen Burnie
State
Maryland
Zip
21061-4094
Phone Number
301-804-0344
Fax Number
301-349-1370
person
Provider Business Mailing Address Details
Address
1406B Crain Hwy S Ste 306
City
Glen Burnie
State
Maryland
Zip
21061-4094
Phone Number
301-804-0344
Fax Number
301-349-1370
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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