| Win Team Llc | |
|
10001 Derekwood Ln # 201 Lanham MD 20706-4804 | |
| (301) 552-5425 | |
| Not Available |
| Full Name | Win Team Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10001 Derekwood Ln # 201, Lanham, Maryland |
| Authorized Official Name and Position | Nadirah Smith (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4437569047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Win Team Llc 4640 Edmondson Ave Baltimore MD 21229-1407 Ph: () - | Win Team Llc 10001 Derekwood Ln # 201 Lanham MD 20706-4804 Ph: (301) 552-5425 |
| NPI Number | 1821734914 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821734914 | NPI | - | NPPES |
| 1366927774 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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