| Greenwell Foundation | |
|
25420 Rosedale Manor Ln Hollywood MD 20636-2925 | |
| (301) 373-9775 | |
| Not Available |
| Full Name | Greenwell Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 25420 Rosedale Manor Ln, Hollywood, Maryland |
| Authorized Official Name and Position | Jolanda Campbell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3013739775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwell Foundation Po Box 198 Hollywood MD 20636-0198 Ph: (301) 373-9775 | Greenwell Foundation 25420 Rosedale Manor Ln Hollywood MD 20636-2925 Ph: (301) 373-9775 |
| NPI Number | 1508230160 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508230160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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