| Bristol Ascension Enterprises, Llc | |
|
7238 Muncaster Mill Rd Ste 213 Derwood MD 20855-1215 | |
| (240) 389-4331 | |
| Not Available |
| Full Name | Bristol Ascension Enterprises, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7238 Muncaster Mill Rd Ste 213, Derwood, Maryland |
| Authorized Official Name and Position | Scott Maurice Bristol (OWNER/ THERAPIST) |
| Authorized Official Contact | 2403894331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Ascension Enterprises, Llc 8228 Castlebury Ter Gaithersburg MD 20879-5516 Ph: (301) 275-0954 | Bristol Ascension Enterprises, Llc 7238 Muncaster Mill Rd Ste 213 Derwood MD 20855-1215 Ph: (240) 389-4331 |
| NPI Number | 1922728609 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922728609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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