| Center For Transformative Care | |
|
11140 Rockville Pike, #303 Rockville MD 20852 | |
| (301) 347-6518 | |
| Not Available |
| Full Name | Center For Transformative Care |
|---|---|
| Speciality | Clinic/center |
| Location | 11140 Rockville Pike, #303, Rockville, Maryland |
| Authorized Official Name and Position | Jan Dommerholt (DIRECTOR) |
| Authorized Official Contact | 3016565613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Transformative Care 4405 E West Hwy Ste 403 Bethesda MD 20814-4535 Ph: (301) 656-5613 | Center For Transformative Care 11140 Rockville Pike, #303 Rockville MD 20852 Ph: (301) 347-6518 |
| NPI Number | 1073161253 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 08/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073161253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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