| NPI | 1205339413 |
|---|---|
| Doing Business As | YOUR WELLNESS SOURCES |
| Entity Type | Organization |
| Authorized Contact | MARSHALEE GEORGE Medical Director 301-235-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-11-13 |