Bewell Community Health, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Gaithersburg, MD. Organization (NPI-2).
NPI number1568234409
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1568234409
- Entity type
- Organization (NPI-2)
- Legal business name
- Bewell Community Health, INC.
- Organization subpart
- No
- Enumeration date
- Oct 24, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
267 Kentlands BlvdGaithersburg, MD 20878-5446
Phone 240-587-6886
Mailing address
267 Kentlands BlvdGaithersburg, MD 20878-5446
Phone 240-587-6886
Authorized official
Emily E Pavlick
Cfo
3017939915
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