| New Dawn Health Services Llc | |
|
4450 Mitchellville Rd Ste 1285 Bowie MD 20716-3112 | |
| (240) 486-6795 | |
| Not Available |
| Full Name | New Dawn Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4450 Mitchellville Rd Ste 1285, Bowie, Maryland |
| Authorized Official Name and Position | Stella Ogoko (PMHNP) |
| Authorized Official Contact | 2404866795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dawn Health Services Llc 4450 Mitchellville Rd Ste 1285 Bowie MD 20716-3112 Ph: () - | New Dawn Health Services Llc 4450 Mitchellville Rd Ste 1285 Bowie MD 20716-3112 Ph: (240) 486-6795 |
| NPI Number | 1578258109 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 9335506435 |
|---|---|
| Medicare Enrollment ID | O20230606000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578258109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stella Ogoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083385728 PECOS PAC ID: 1153788252 Enrollment ID: I20230606000251 |
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