True Blue Behavioral Health | |
3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 | |
(240) 435-4708 | |
Not Available |
Full Name | True Blue Behavioral Health |
---|---|
Speciality | Social Worker - Clinical |
Location | 3261 Old Washington Rd Ste 2020, Waldorf, Maryland |
Authorized Official Name and Position | Davidra T Bazemore-blue (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 2029976060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
True Blue Behavioral Health 16705 Rolling Tree Rd Accokeek MD 20607-3358 Ph: (202) 997-6060 | True Blue Behavioral Health 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (240) 435-4708 |
NPI Number | 1285177600 |
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Provider Enumeration Date | 12/02/2016 |
Last Update Date | 06/09/2023 |
Certification Date | 06/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285177600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19114 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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