| Devine Grace Behavioral Health Center, Llc | |
|
85 High St Waldorf MD 20602-2150 | |
| (240) 882-0536 | |
| Not Available |
| Full Name | Devine Grace Behavioral Health Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 High St, Waldorf, Maryland |
| Authorized Official Name and Position | Adewale Soniregun (CEO) |
| Authorized Official Contact | 2408820536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devine Grace Behavioral Health Center, Llc 7502 Dogwood Ln Hanover MD 21076-3170 Ph: () - | Devine Grace Behavioral Health Center, Llc 85 High St Waldorf MD 20602-2150 Ph: (240) 882-0536 |
| NPI Number | 1003670605 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003670605 | NPI | - | NPPES |
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