| Maryland Wellness Llc | |
|
4500 Black Rock Rd # G2 Hampstead MD 21074-2636 | |
| (410) 241-6317 | |
| Not Available |
| Full Name | Maryland Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4500 Black Rock Rd # G2, Hampstead, Maryland |
| Authorized Official Name and Position | Casey Wu (DIRECTOR) |
| Authorized Official Contact | 4102416317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wellness Llc 4128 Hayward Ave # W Baltimore MD 21215-4340 Ph: (410) 241-6317 | Maryland Wellness Llc 4500 Black Rock Rd # G2 Hampstead MD 21074-2636 Ph: (410) 241-6317 |
| NPI Number | 1760065643 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760065643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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