| Marathon Community Wellness. Inc. | |
|
6340 Security Blvd Ste B34 First Floor Gwynn Oak MD 21207-5173 | |
| (443) 273-4570 | |
| Not Available |
| Full Name | Marathon Community Wellness. Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6340 Security Blvd Ste B34 First Floor, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Byron Randall (CEO/OWNER) |
| Authorized Official Contact | 4432734570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon Community Wellness. Inc. 6340 Security Blvd Suite B34, First Floor Gwynn Oak MD 21207-5173 Ph: (443) 273-4570 | Marathon Community Wellness. Inc. 6340 Security Blvd Ste B34 First Floor Gwynn Oak MD 21207-5173 Ph: (443) 273-4570 |
| NPI Number | 1487238960 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 09/11/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487238960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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