| One Source Wellness Works Llc | |
|
22 W Pennsylvania Ave Towson MD 21204-5017 | |
| (667) 229-5959 | |
| (667) 229-5957 |
| Full Name | One Source Wellness Works Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 W Pennsylvania Ave, Towson, Maryland |
| Authorized Official Name and Position | Darlene Dockins (CEO) |
| Authorized Official Contact | 6672295959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Source Wellness Works Llc 22 W Pennsylvania Ave Ste 410 Towson MD 21204-5017 Ph: (667) 229-5959 | One Source Wellness Works Llc 22 W Pennsylvania Ave Towson MD 21204-5017 Ph: (667) 229-5959 |
| NPI Number | 1104559582 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104559582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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