| Montgomery Wellness Hub Llc | |
|
6 W Washington St Ste 200 Hagerstown MD 21740-4830 | |
| (240) 246-7837 | |
| (240) 246-7911 |
| Full Name | Montgomery Wellness Hub Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6 W Washington St Ste 200, Hagerstown, 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 6 W Washington St Ste 200 Hagerstown MD 21740-4830 Ph: (240) 246-7837 | Montgomery Wellness Hub Llc 6 W Washington St Ste 200 Hagerstown MD 21740-4830 Ph: (240) 246-7837 |
| NPI Number | 1588477277 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588477277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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