| Compassionate Wellness Center, Llc | |
|
44 N Potomac St # 101&102 Hagerstown MD 21740-4855 | |
| (240) 513-6001 | |
| Not Available |
| Full Name | Compassionate Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 44 N Potomac St # 101&102, Hagerstown, Maryland |
| Authorized Official Name and Position | Ivan Ngang Zama (CEO) |
| Authorized Official Contact | 2403947786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Wellness Center, Llc 10319 Westlake Dr Ste 193 Bethesda MD 20817-6403 Ph: (240) 513-6001 | Compassionate Wellness Center, Llc 44 N Potomac St # 101&102 Hagerstown MD 21740-4855 Ph: (240) 513-6001 |
| NPI Number | 1730715202 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730715202 | NPI | - | NPPES |
| 986006100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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