Bravo Psychological Group LLC.
Clinic/Center, Adult Mental Health in Gaithersburg, MD. Organization (NPI-2).
NPI number1245975630
StatusActive
Last updated in NPPESMay 1, 2022
Details
- NPI
- 1245975630
- Entity type
- Organization (NPI-2)
- Legal business name
- Bravo Psychological Group LLC.
- Organization subpart
- No
- Enumeration date
- May 1, 2022
- Certification date
- May 1, 2022
- Last updated
- May 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
656 Quince Orchard RdGaithersburg, MD 20878-1409
Phone 301-233-5020
Mailing address
656 Quince Orchard RdGaithersburg, MD 20878-1409
Phone 301-233-5020 · Fax 240-912-9564
Authorized official
Eric W Bravo
Psychologist
3012335020
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