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 | 1073226361 |
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Provider Enumeration Date | 01/02/2023 |
Last Update Date | 01/02/2023 |
Certification Date | 01/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073226361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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