| Crown Therapeutic Solutions, Llc | |
|
12621 Kavanaugh Ln Bowie MD 20715-2816 | |
| (202) 431-8008 | |
| Not Available |
| Full Name | Crown Therapeutic Solutions, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12621 Kavanaugh Ln, Bowie, Maryland |
| Authorized Official Name and Position | Porscha Baker (OWNER) |
| Authorized Official Contact | 2024318008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Therapeutic Solutions, Llc 12621 Kavanaugh Ln Bowie MD 20715-2816 Ph: (202) 431-8008 | Crown Therapeutic Solutions, Llc 12621 Kavanaugh Ln Bowie MD 20715-2816 Ph: (202) 431-8008 |
| NPI Number | 1952189623 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952189623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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