| NPI | 1588477277 |
|---|---|
| Other Name | MONTGOMERY WELLNESS HUB LLC, HAGERSTOWN |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KOLAWOLE IBRAHIM CEO 301-404-7336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |