| NPI | 1780031724 |
|---|---|
| Doing Business As | YOUR WELLNESS SOURCES |
| Entity Type | Organization |
| Authorized Contact | MARSHALEE GEORGE Medical Director 301-235-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2024-03-08 |