| Wholistic Behavioral Health | |
|
3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 | |
| (240) 229-6417 | |
| Not Available |
| Full Name | Wholistic Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3261 Old Washington Rd Ste 2020, Waldorf, Maryland |
| Authorized Official Name and Position | Northwest Registered Agent (REGISTERED AGENT) |
| Authorized Official Contact | 5097682249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Behavioral Health 1120 N Charles St Ste 303 Baltimore MD 21201-5592 Ph: () - | Wholistic Behavioral Health 3261 Old Washington Rd Ste 2020 Waldorf MD 20602-3231 Ph: (240) 229-6417 |
| NPI Number | 1730966169 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 03/10/2024 |
| Certification Date | 03/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730966169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
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