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Mrs. Genevive Wutang
Community/Behavioral Health Agency in Upper Marlboro, Maryland
NPI 1700483310

Genevive Wutang is a Community/Behavioral Health Agency based in Glenn Dale, MD. Genevive Wutang practices in Upper Marlboro, MD. The NPI Number for Genevive Wutang is 1700483310 and holds a License No. (Maryland).

The current practice location address for Genevive Wutang is 12423 Ronald Beall Rd, Upper Marlboro, MD and can be reached out via phone at 240-828-9004.

Location: 12423 Ronald Beall Rd, Upper Marlboro, MD, 20769-9220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700483310
Provider Name
Genevive Wutang
Credential
Provider Entity Type
Individual
Gender
Female
Address
12423 Ronald Beall Rd, Upper Marlboro, MD, 20769-9220
Phone Number
240-828-9004
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12423 Ronald Beall Rd
City
Upper Marlboro
State
Maryland
Zip
20774-5686
Phone Number
240-828-9004
Fax Number
person
Provider Business Mailing Address Details
Address
12423 Ronald Beall Rd
City
Upper Marlboro
State
Maryland
Zip
20774-5686
Phone Number
240-828-9004
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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