Provider Demographics
NPI:1831803535
Name:A BETTER YOU HEALTH & WELLNESS CENTER LLC
Entity type:Organization
Organization Name:A BETTER YOU HEALTH & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-442-4242
Mailing Address - Street 1:2201 EASTERN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-4296
Mailing Address - Country:US
Mailing Address - Phone:443-442-4242
Mailing Address - Fax:
Practice Address - Street 1:2201 EASTERN BLVD STE A
Practice Address - Street 2:
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-4296
Practice Address - Country:US
Practice Address - Phone:443-442-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation