POTOMAC SHORES MENTAL HEALTH & WELLNESS LLC

WOODBRIDGE, VA
NPI1902562507
Entity TypeOrganization
Authorized ContactEBUNOLA MOIRA AYOOLA
Owner
202-809-3550
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-11-09
Last Update Date2024-10-23
Business Address
POTOMAC SHORES MENTAL HEALTH & WELLNESS LLC
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192-2847
Phone number: 703-977-6556
Mailing Address
POTOMAC SHORES MENTAL HEALTH & WELLNESS LLC
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192-2847
Phone number: 703-977-6556
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