| Wholistic Behavior | |
|
411 Dorchester Ave Cambridge MD 21613-2421 | |
| (240) 229-6417 | |
| Not Available |
| Full Name | Wholistic Behavior |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 411 Dorchester Ave, Cambridge, Maryland |
| Authorized Official Name and Position | Northwest Registered Agent (REGISTERED AGENT) |
| Authorized Official Contact | 4434165667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Behavior 1120 N Charles St Ste 408 Baltimore MD 21201-5594 Ph: (443) 416-5667 | Wholistic Behavior 411 Dorchester Ave Cambridge MD 21613-2421 Ph: (240) 229-6417 |
| NPI Number | 1366226821 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366226821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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