| NPI | 1700698743 |
|---|---|
| Other Name | MONTGOMERY WELLNESS HUB LLC, HAGERSTOWN |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED KOLAWOLE IBRAHIM CEO 240-246-7837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |