| Holistic Treatment Center | |
|
3050 Crain Hwy Ste 200 Waldorf MD 20601-2822 | |
| (571) 490-1421 | |
| (571) 490-1421 |
| Full Name | Holistic Treatment Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3050 Crain Hwy Ste 200, Waldorf, Maryland |
| Authorized Official Name and Position | Renee Butler (PRESIDENT) |
| Authorized Official Contact | 5714901421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Treatment Center 12301 Loch Carron Cir Fort Washington MD 20744-7017 Ph: (571) 490-1421 | Holistic Treatment Center 3050 Crain Hwy Ste 200 Waldorf MD 20601-2822 Ph: (571) 490-1421 |
| NPI Number | 1932639663 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932639663 | NPI | - | NPPES |
| 103795100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20563 (Maryland) | Primary |
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