Gebaj Mental Health and Core Services Clinic, INC
NPI #1922866011 in Riverdale, Maryland
Provider Information
- NPI Number
- 1922866011
- Entity Type
- Organization
- Organization Name
- Gebaj Mental Health and Core Services Clinic, INC
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Enumeration Date
- Mar 12, 2024
- Last Updated
- Sep 18, 2025
Practice Location
Authorized Official
- Name
- BASIL E. FOMANKA, PMHNP
- Title
- CEO/OWNER
- Phone
- (443) 520-8138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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