Cazobi Medical LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD. Organization (NPI-2).
NPI number1639831787
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1639831787
- Entity type
- Organization (NPI-2)
- Legal business name
- Cazobi Medical LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2021
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
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 | – | – |
Practice location
6800 McCormick RdUpper Marlboro, MD 20772-4351
Phone 410-900-8888
Mailing address
6800 McCormick RdUpper Marlboro, MD 20772-4351
Phone 410-900-8888
Authorized official
Christopher D Obiogbolu
President
4109008888
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