| Williams Restoration Of Hope | |
|
1400 Mercantile Ln Ste 200 Upper Marlboro MD 20774-5350 | |
| (301) 740-6034 | |
| (888) 740-4113 |
| Full Name | Williams Restoration Of Hope |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1400 Mercantile Ln Ste 200, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Edward Williams (CEO) |
| Authorized Official Contact | 3017406034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Restoration Of Hope 1400 Mercantile Ln Ste 200 Upper Marlboro MD 20774-5350 Ph: (301) 740-6034 | Williams Restoration Of Hope 1400 Mercantile Ln Ste 200 Upper Marlboro MD 20774-5350 Ph: (301) 740-6034 |
| NPI Number | 1043972912 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043972912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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