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 |