| Rafiki Consortium, Llc | |
|
9985 Village Green Dr Woodstock MD 21163-1155 | |
| (410) 521-5818 | |
| (410) 521-4504 |
| Full Name | Rafiki Consortium, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9985 Village Green Dr, Woodstock, Maryland |
| Authorized Official Name and Position | William Henry Gregory (DIRECTOR) |
| Authorized Official Contact | 4105215818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafiki Consortium, Llc 9985 Village Green Dr Woodstock MD 21163-1155 Ph: (410) 521-5818 | Rafiki Consortium, Llc 9985 Village Green Dr Woodstock MD 21163-1155 Ph: (410) 521-5818 |
| NPI Number | 1104144468 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104144468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 391 (District Of Columbia) | Primary |
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