| Blossom And Grow Wellness Center | |
|
4701 Sangamore Rd Suite 100 N 1008 Bethesda MD 20816-2081 | |
| (240) 366-2300 | |
| Not Available |
| Full Name | Blossom And Grow Wellness Center |
|---|---|
| Speciality | Clinic/center |
| Location | 4701 Sangamore Rd, Bethesda, Maryland |
| Authorized Official Name and Position | Ashley Kansinally (OWNER) |
| Authorized Official Contact | 2039085331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom And Grow Wellness Center 2917 Silver Hill Ave Gwynn Oak MD 21207-6855 Ph: (203) 908-5331 | Blossom And Grow Wellness Center 4701 Sangamore Rd Suite 100 N 1008 Bethesda MD 20816-2081 Ph: (240) 366-2300 |
| NPI Number | 1467075713 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467075713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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