OrganizationActive
Advance Integrated Health, LLC
NPI 1952976771 · Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD
Provider details
- NPI number
- 1952976771
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samuel Koroma, Owner(301) 810-4026
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Paul Mellon Ct Ste 5
Waldorf, MD 20602-2761
Phone: (301) 810-4026
Approximate (ZIP-level) locationGet directions
Mailing address
101 Paul Mellon Ct Ste 5
Waldorf, MD 20602-2761
Other names (DBA / former)
- Doing business as
- Aih Behavioral Health
Registry dates
- Enumerated
- 2021-05-24
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.