Organization · Type 2 NPI
Immaculate Healthcare Systems LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Baltimore, MD
NPI number
1033853643
Active
Practice location
3511 W Forest Park Ave
Baltimore, MD 21216-1428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1033853643
Immaculate Healthcare Systems LLC's National Provider Identifier is 1033853643, issued on Apr 21, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Baltimore, MD. The record was last updated on Nov 11, 2025.