| Transformation Health, Llc | |
|
2288 Blue Water Blvd Ste 315&317 Odenton MD 21113-3309 | |
| (443) 759-9592 | |
| Not Available |
| Full Name | Transformation Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2288 Blue Water Blvd Ste 315&317, Odenton, Maryland |
| Authorized Official Name and Position | Monica Laney Boddie (CEO) |
| Authorized Official Contact | 4432243002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Health, Llc 4083 Dorseys Ridge Sq Ellicott City MD 21043-5469 Ph: (443) 224-3002 | Transformation Health, Llc 2288 Blue Water Blvd Ste 315&317 Odenton MD 21113-3309 Ph: (443) 759-9592 |
| NPI Number | 1033822986 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033822986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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