| Wholistic Restorations Llc | |
|
12200 Annapolis Rd Suite 320 Glenn Dale MD 20769-9182 | |
| (301) 399-9119 | |
| Not Available |
| Full Name | Wholistic Restorations Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | Ailsa Coakley (OWNER) |
| Authorized Official Contact | 3013999119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Restorations Llc 4230 Lavender Ln Bowie MD 20720-4291 Ph: () - | Wholistic Restorations Llc 12200 Annapolis Rd Suite 320 Glenn Dale MD 20769-9182 Ph: (301) 399-9119 |
| NPI Number | 1023446002 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 11/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023446002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 03437 (Maryland) | Primary |
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