| Olive Tree 1 Care Of Maryland | |
|
8418 Thornberry Dr E Upper Marlboro MD 20772-5061 | |
| (202) 340-1953 | |
| Not Available |
| Full Name | Olive Tree 1 Care Of Maryland |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8418 Thornberry Dr E, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Javon Cory Oliver (CEO) |
| Authorized Official Contact | 2023401953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Tree 1 Care Of Maryland 8418 Thornberry Dr E Upper Marlboro MD 20772-5061 Ph: (202) 340-1953 | Olive Tree 1 Care Of Maryland 8418 Thornberry Dr E Upper Marlboro MD 20772-5061 Ph: (202) 340-1953 |
| NPI Number | 1104676352 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104676352 | NPI | - | NPPES |
| 021983047 | Medicaid | DC | |
| 642010900 | Medicaid | MD |
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