| Qreativ Moodz | |
|
10606 Sourwood Ave Waldorf MD 20603-5716 | |
| (202) 300-1781 | |
| Not Available |
| Full Name | Qreativ Moodz |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 10606 Sourwood Ave, Waldorf, Maryland |
| Authorized Official Name and Position | Robin Mcmanus (OWNER) |
| Authorized Official Contact | 2403001781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qreativ Moodz 10606 Sourwood Ave Waldorf MD 20603-5716 Ph: (202) 300-1781 | Qreativ Moodz 10606 Sourwood Ave Waldorf MD 20603-5716 Ph: (202) 300-1781 |
| NPI Number | 1508568890 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508568890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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