| Morralee Community Inc | |
|
4212 Wentworth Rd Gwynn Oak MD 21207-7432 | |
| (443) 761-0345 | |
| Not Available |
| Full Name | Morralee Community Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4212 Wentworth Rd, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Chavon Mcmillian (OWNER) |
| Authorized Official Contact | 4437610345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morralee Community Inc 4212 Wentworth Rd Gwynn Oak MD 21207-7432 Ph: (443) 761-0345 | Morralee Community Inc 4212 Wentworth Rd Gwynn Oak MD 21207-7432 Ph: (443) 761-0345 |
| NPI Number | 1528700457 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528700457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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