Mazwi Holistic Institute Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MAZWI HOLISTIC INSTITUTE INC

Practice address

1705 W Fayette St
Baltimore, MD 21223-1708

Phone

(443) 282-8949

Fax

(410) 947-5306

NPI assigned

Dec 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Angel Mazwi

Title

Executive Director

Phone

(443) 282-8949

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1376180398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231708",
            "telephone_number": "410-947-1700",
            "fax_number": "410-947-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231708",
            "telephone_number": "443-282-8949",
            "fax_number": "410-947-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZWI HOLISTIC INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "MAZWI",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-282-8949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia K. Mazikas, P.A.
• Jahinover Mazo, MD
• Santiago Mazuera Mejia, M.D.
• Anushka Mazumdar
• Ishan Mazumdar
• Leigh Sherer Mazzei, PA-C
• Michele Maria Mazzocco, PHD
• MB Therapeutic Center, LLC
• Kenneth U Mbachu, PA
• Peter Mbagu

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.