| Dstnd4gr8ns Llc | |
|
9401 White Cedar Dr Apt 302 Owings Mills MD 21117-7523 | |
| (443) 768-2215 | |
| Not Available |
| Full Name | Dstnd4gr8ns Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9401 White Cedar Dr Apt 302, Owings Mills, Maryland |
| Authorized Official Name and Position | Ronald E. Satterfield (CEO) |
| Authorized Official Contact | 4437682215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dstnd4gr8ns Llc 9401 White Cedar Dr Apt 302 Owings Mills MD 21117-7523 Ph: (443) 768-2215 | Dstnd4gr8ns Llc 9401 White Cedar Dr Apt 302 Owings Mills MD 21117-7523 Ph: (443) 768-2215 |
| NPI Number | 1568115616 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568115616 | NPI | - | NPPES |
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