| Maryland Wellness Llc | |
|
4200 Forbes Blvd Suite104 Lanham MD 20706-4342 | |
| (301) 429-6100 | |
| (301) 429-1333 |
| Full Name | Maryland Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4200 Forbes Blvd, Lanham, Maryland |
| Authorized Official Name and Position | Casey Wu (DIRECTOR OF SPECIAL PROJECTS) |
| Authorized Official Contact | 4102416317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wellness Llc 4128 Hayward Ave Baltimore MD 21215-4340 Ph: (410) 241-6317 | Maryland Wellness Llc 4200 Forbes Blvd Suite104 Lanham MD 20706-4342 Ph: (301) 429-6100 |
| NPI Number | 1659520476 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659520476 | NPI | - | NPPES |
| 220412507 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 200710000 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 220412453 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 200710001 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 200710002 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
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