Organization · Type 2 NPI

Blessed Vine Healthcare Services LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Waldorf, MD

NPI number 1619799459 Active

Practice location

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1619799459

Blessed Vine Healthcare Services LLC's National Provider Identifier is 1619799459, issued on Oct 31, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Waldorf, MD. The record was last updated on Oct 31, 2024.