Organization · NPI-2

Boundless Mental Health

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

NPI number1306573761
StatusActive
Last updated in NPPESMay 23, 2025

Details

NPI
1306573761
Entity type
Organization (NPI-2)
Legal business name
Boundless Mental Health
Organization subpart
No
Enumeration date
Aug 5, 2022
Certification date
May 23, 2025
Last updated
May 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

6130 Oxon Hill Rd Ste 204
Oxon Hill, MD 20745-3168

Phone 240-791-4549 · Fax 240-696-3001

Mailing address

Po Box 281
Lorton, VA 22199-0281

Phone 240-791-4549 · Fax 240-696-3001

Authorized official

Olatunji Folawewo
Owner/Provider
2407914549

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