| Halcyon Wellness Center, Llc | |
|
8229 Cloverleaf Drive Suite 425 Millersville MD 21108-2639 | |
| (541) 554-9777 | |
| (410) 987-0576 |
| Full Name | Halcyon Wellness Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8229 Cloverleaf Drive, Millersville, Maryland |
| Authorized Official Name and Position | Duane Michael Isava (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5415549777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyon Wellness Center, Llc 8229 Cloverleaf Drive Suite 425 Millersville MD 21108-2639 Ph: (541) 554-9777 | Halcyon Wellness Center, Llc 8229 Cloverleaf Drive Suite 425 Millersville MD 21108-2639 Ph: (541) 554-9777 |
| NPI Number | 1699181099 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699181099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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