Provider Demographics
NPI:1588229744
Name:SINNAI BEHAVIORAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SINNAI BEHAVIORAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:GLADSON
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-419-9833
Mailing Address - Street 1:3610 MILFORD MILL RD FL 3
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-3330
Mailing Address - Country:US
Mailing Address - Phone:410-419-9833
Mailing Address - Fax:
Practice Address - Street 1:3610 MILFORD MILL RD FL 3
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-3330
Practice Address - Country:US
Practice Address - Phone:410-419-9833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty