Provider Demographics
NPI:1780869263
Name:APEX NETWROK CONSOLIDATED LLC
Entity type:Organization
Organization Name:APEX NETWROK CONSOLIDATED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MONU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW-C
Authorized Official - Phone:443-540-3337
Mailing Address - Street 1:23 RHONDA CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2038
Mailing Address - Country:US
Mailing Address - Phone:443-540-3337
Mailing Address - Fax:
Practice Address - Street 1:100 WINTERS LN
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3150
Practice Address - Country:US
Practice Address - Phone:443-540-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11859251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health