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Brilliance Behavioral Health

Psychologist in Bowie, MD. Organization (NPI-2).

NPI number1679279327
StatusActive
Last updated in NPPESFeb 3, 2023

Details

NPI
1679279327
Entity type
Organization (NPI-2)
Legal business name
Brilliance Behavioral Health
Organization subpart
No
Enumeration date
Feb 3, 2023
Certification date
Feb 3, 2023
Last updated
Feb 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Phone 301-852-8177

Mailing address

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Authorized official

Raquel Gordon
Psychologist
3018528177

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