Individual provider · Type 1 NPI

Genevive Wutang

Community/Behavioral Health Agency · Upper Marlboro, MD

NPI number 1700483310 Active

Practice location

12423 Ronald Beall Rd
Upper Marlboro, MD 20774-5686

Call (240) 828-9004 Map

Mailing address

6103 Erika Pl
Glenn Dale, MD 20769-9220

Specialties and licenses

Taxonomy	Code	License
Home Health Aide	374U00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1700483310

Genevive Wutang's National Provider Identifier is 1700483310, issued on Oct 6, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jul 7, 2023.