| Greatwaygroup Llc | |
|
1815 Mitchellville Rd Bowie MD 20716-1541 | |
| (202) 710-5665 | |
| Not Available |
| Full Name | Greatwaygroup Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1815 Mitchellville Rd, Bowie, Maryland |
| Authorized Official Name and Position | Wasiu O Yusuf (PRESIDENT) |
| Authorized Official Contact | 2027105665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greatwaygroup Llc 1815 Mitchellville Rd Bowie MD 20716-1541 Ph: (202) 710-5665 | Greatwaygroup Llc 1815 Mitchellville Rd Bowie MD 20716-1541 Ph: (202) 710-5665 |
| NPI Number | 1750979118 |
|---|---|
| Provider Enumeration Date | 01/01/2021 |
| Last Update Date | 01/01/2021 |
| Certification Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750979118 | NPI | - | NPPES |
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