| Tru Transformation Llc | |
|
4711 Liberty Heights Ave Fl 1 Gwynn Oak MD 21207-7155 | |
| (443) 477-0563 | |
| (410) 665-4960 |
| Full Name | Tru Transformation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4711 Liberty Heights Ave Fl 1, Gwynn Oak, Maryland |
| Authorized Official Name and Position | Yolanda Brown (CEO) |
| Authorized Official Contact | 4434770563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Transformation Llc 4711 Liberty Heights Ave Fl 1 Gwynn Oak MD 21207-7155 Ph: (443) 477-0563 | Tru Transformation Llc 4711 Liberty Heights Ave Fl 1 Gwynn Oak MD 21207-7155 Ph: (443) 477-0563 |
| NPI Number | 1083399794 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083399794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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