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Chesapeake Wellness Collective

Clinic/Center, Mental Health (Including Community Mental Health Center) in Gaithersburg, MD. Organization (NPI-2).

NPI number1538090956
StatusActive
Last updated in NPPESMay 26, 2026

Details

NPI
1538090956
Entity type
Organization (NPI-2)
Legal business name
Chesapeake Wellness Collective
Organization subpart
No
Enumeration date
May 26, 2026
Certification date
May 26, 2026
Last updated
May 26, 2026

Taxonomy and licenses

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

Practice location

501 N Frederick Ave Ste 307-308
Gaithersburg, MD 20877-2507

Phone 833-589-5150

Mailing address

30310 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1576

Authorized official

Jeffrey Farbman
Director Of Billing
9493012863

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