| Montgomery Wellness Hub Llc | |
|
951 Russell Ave Ste D Gaithersburg MD 20879-3283 | |
| (301) 404-7336 | |
| Not Available |
| Full Name | Montgomery Wellness Hub Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 951 Russell Ave Ste D, Gaithersburg, Maryland |
| Authorized Official Name and Position | Mohammed Kolawole Ibrahim (CEO) |
| Authorized Official Contact | 3014047336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Wellness Hub Llc 951 Russell Ave Ste D Gaithersburg MD 20879-3283 Ph: (301) 404-7336 | Montgomery Wellness Hub Llc 951 Russell Ave Ste D Gaithersburg MD 20879-3283 Ph: (301) 404-7336 |
| NPI Number | 1730785668 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730785668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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