| Masterpiece Bhs, LLC | |
|
13332 Burleigh St Upper Marlboro MD 20774-1961 | |
| (240) 305-2144 | |
| Not Available |
| Full Name | Masterpiece Bhs, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 13332 Burleigh St, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Olumide Akinwumi (NURSE PRACTITIONER) |
| Authorized Official Contact | 2403052144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masterpiece Bhs, LLC 13332 Burleigh St Upper Marlboro MD 20774-1961 Ph: (240) 305-2144 | Masterpiece Bhs, LLC 13332 Burleigh St Upper Marlboro MD 20774-1961 Ph: (240) 305-2144 |
| NPI Number | 1053018846 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053018846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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