LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC

TEMPLE HILLS, MD
NPI1912518952
Entity TypeOrganization
Authorized ContactCHUKS E NWAULU
Owner Of The Entity
301-880-4900
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2020-08-13
Last Update Date2020-08-13
Business Address
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
4700 STAMP RD STE K
TEMPLE HILLS, MD 20748-6717
Phone number: 301-880-4900
Mailing Address
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
9509 MANOR OAKS VW
UPPER MARLBORO, MD 20772-3192
Phone number: 301-880-4900