Provider Demographics
NPI:1003546375
Name:NOBLE HEALTH AND BEHAVIORAL CARES SERVICES LLC
Entity Type:Organization
Organization Name:NOBLE HEALTH AND BEHAVIORAL CARES SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURROGATE
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-351-8926
Mailing Address - Street 1:4714 STELLABROOKE LN
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3744
Mailing Address - Country:US
Mailing Address - Phone:443-255-9646
Mailing Address - Fax:443-273-1186
Practice Address - Street 1:3 W PATAPSCO AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MD
Practice Address - Zip Code:21225-1604
Practice Address - Country:US
Practice Address - Phone:443-351-8926
Practice Address - Fax:443-273-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health