Organization · NPI-2
Blissful Days Psychiatric Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Bowie, MD
NPI number1740045939
StatusActive
Last updated in NPPESFeb 16, 2024
Details
- NPI
- 1740045939
- Entity type
- Organization (NPI-2)
- Legal business name
- Blissful Days Psychiatric Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2024
- Certification date
- Feb 16, 2024
- Last updated
- Feb 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
12331 Quilt Patch LnBowie, MD 20720-4358
Phone 707-266-4997
Mailing address
12331 Quilt Patch LnBowie, MD 20720-4358
Phone 707-266-4997
Authorized official
Nneka Wogu
President
7072664997
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