BLUE MOON BEHAVIORAL HEALTH, PLLC

ROCKVILLE, MD
NPI1023841061
Entity TypeOrganization
Authorized ContactSHINEKA LATOYA MACK
Owner
704-258-6720
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-08-23
Last Update Date2024-08-23
Business Address
BLUE MOON BEHAVIORAL HEALTH, PLLC
199 E MONTGOMERY AVE STE 100
ROCKVILLE, MD 20850-2361
Phone number: 301-719-2913
Mailing Address
BLUE MOON BEHAVIORAL HEALTH, PLLC
9302 WOODEN RD
RALEIGH, NC 27617-8214
Phone number: 704-258-6720
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