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Proactive Wellnessnp
Recovery Care Clinic/Center in Columbia, Maryland
NPI 1124704085

Proactive Wellnessnp is a Recovery Care Clinic/Center based in Columbia, MD and is specialized in Recovery Care. Proactive Wellnessnp practices in Columbia, MD. The NPI Number for Proactive Wellnessnp is 1124704085 and holds a License No. (Maryland).

The current practice location address for Proactive Wellnessnp is 12114 Blue Flag Way, Columbia, MD and can be reached out via phone at 301-741-0307.

Location: 12114 Blue Flag Way, Columbia, MD, 21044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124704085
Provider Name
Proactive Wellnessnp
Credential
Provider Entity Type
Organization
Address
12114 Blue Flag Way, Columbia, MD, 21044
Phone Number
301-741-0307
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12114 Blue Flag Way
City
Columbia
State
Maryland
Zip
21044
Phone Number
301-741-0307
Fax Number
person
Provider Business Mailing Address Details
Address
12114 Blue Flag Way
City
Columbia
State
Maryland
Zip
21044
Phone Number
301-741-0307
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
261QR0800X
License No.
()
Definition
Definition to come...
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