| Melwood | |
|
12705 Country Ln Waldorf MD 20601-3399 | |
| (301) 870-6722 | |
| Not Available |
| Full Name | Melwood |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12705 Country Ln, Waldorf, Maryland |
| Authorized Official Name and Position | Orlie Wheatly Reid (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 3018706722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melwood 12705 Country Ln Waldorf MD 20601-3399 Ph: (301) 870-6722 | Melwood 12705 Country Ln Waldorf MD 20601-3399 Ph: (301) 870-6722 |
| NPI Number | 1598934630 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598934630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 12188 (Maryland) | Primary |
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