IndividualActive
Alfred Ezekwesili
NPI 1902478290 · Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
Provider details
- NPI number
- 1902478290
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 200709996 (MD)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 200709996 (MD)
Ambulatory Health Care Facilities
Practice location
1 E Chase St Ste 1125
Baltimore, MD 21202-2565
Phone: (410) 298-3431
Approximate (ZIP-level) locationGet directions
Mailing address
1502 Woodlawn Dr Ste 103
Baltimore, MD 21207-4022
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2021-07-15
- Certified
- 2021-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.