| Warren W Wright Enterprises | |
|
217 Central Ave Gaithersburg MD 20877-1217 | |
| (240) 221-1950 | |
| Not Available |
| Full Name | Warren W Wright Enterprises |
|---|---|
| Speciality | Clinic/Center |
| Location | 217 Central Ave, Gaithersburg, Maryland |
| Authorized Official Name and Position | Ryan Wright (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 2402211950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren W Wright Enterprises 111 Washington Grove Ln Unit 243 Washington Grove MD 20880-7510 Ph: (240) 221-1950 | Warren W Wright Enterprises 217 Central Ave Gaithersburg MD 20877-1217 Ph: (240) 221-1950 |
| NPI Number | 1053005561 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 0446612113 |
|---|---|
| Medicare Enrollment ID | O20230811001016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053005561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ryan Rupert Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982392585 PECOS PAC ID: 7618339375 Enrollment ID: I20230811000969 |
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