Vidaluxlook
Community/Behavioral Health in Crofton, MD. Organization (NPI-2).
NPI number1841007291
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1841007291
- Entity type
- Organization (NPI-2)
- Legal business name
- Vidaluxlook
- Organization subpart
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 17, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Jenifer Guinn (Doing Business As)
Practice location
1611 Parkridge Cir Apt 194Crofton, MD 21114-2817
Phone 240-838-9219
Mailing address
1611 Parkridge Cir Apt 194Crofton, MD 21114-2817
Phone 240-838-9219
Authorized official
Jenifer K Guinn
Community Support Worker
2408389219
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All 13 Community/Behavioral Health Agency providers in Crofton · All 685 providers in Crofton
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