| Transformation Therapeutic Services | |
|
16703 Governor Bridge Rd Apt 203 Bowie MD 20716-3678 | |
| (240) 441-3344 | |
| Not Available |
| Full Name | Transformation Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16703 Governor Bridge Rd Apt 203, Bowie, Maryland |
| Authorized Official Name and Position | Tiffany Johnson (CEO) |
| Authorized Official Contact | 2404413344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Therapeutic Services 16703 Governor Bridge Rd Apt 203 Bowie MD 20716-3678 Ph: () - | Transformation Therapeutic Services 16703 Governor Bridge Rd Apt 203 Bowie MD 20716-3678 Ph: (240) 441-3344 |
| NPI Number | 1285307595 |
|---|---|
| Provider Enumeration Date | 08/01/2021 |
| Last Update Date | 08/01/2021 |
| Certification Date | 08/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285307595 | NPI | - | NPPES |
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