Bonita Health Clinic

LBN: Bonita Health Clinic
Bonita Health Clinic is an health care organization with primary practice located at 6124 Landover Rd , Cheverly MD 20785-1016. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Bonita Health Clinic can be contacted via phone (215) 500-7580, or through Black, Rajaee via phone (215) 500-7580.

Contact Information

Primary practice address
6124 Landover Rd Cheverly MD 20785-1016
Phone: (215) 500-7580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Black, Rajaee Certified Registered Nurse Anesthetist (CRNA)
Phone: (215) 500-7580

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1740822915
LBN Legal business name Bonita Health Clinic
DBA Doing business as
Authorized official Black, Rajaee Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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