| Crown Oasis Mental Wellness Llc | |
|
5513 Twin Knolls Rd Ste 213 Columbia MD 21045-3264 | |
| (240) 636-7405 | |
| Not Available |
| Full Name | Crown Oasis Mental Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5513 Twin Knolls Rd Ste 213, Columbia, Maryland |
| Authorized Official Name and Position | Adisatu Adeyemi (CEO) |
| Authorized Official Contact | 2406367405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Oasis Mental Wellness Llc 5513 Twin Knolls Rd Ste 213 Columbia MD 21045-3264 Ph: (240) 636-7405 | Crown Oasis Mental Wellness Llc 5513 Twin Knolls Rd Ste 213 Columbia MD 21045-3264 Ph: (240) 636-7405 |
| NPI Number | 1104653641 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104653641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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