| Golgotha Touch Behavioral Health Services Llc | |
|
604 S Frederick Ave 211 Gaithersburg MD 20877-1275 | |
| (240) 731-0457 | |
| Not Available |
| Full Name | Golgotha Touch Behavioral Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 604 S Frederick Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Lilian Bollers (OWNER) |
| Authorized Official Contact | 2407310457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golgotha Touch Behavioral Health Services Llc 604 S Frederick Ave 211 Gaithersburg MD 20877-1275 Ph: (240) 731-0457 | Golgotha Touch Behavioral Health Services Llc 604 S Frederick Ave 211 Gaithersburg MD 20877-1275 Ph: (240) 731-0457 |
| NPI Number | 1851695662 |
|---|---|
| Provider Enumeration Date | 01/08/2011 |
| Last Update Date | 01/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851695662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15529 (Maryland) | Primary |
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