# MAGNOLIA BEHAVIOR HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417730466
- **Authorized official:** JULIA SHIRIMA (PROVIDER)
- **Authorized official phone:** (301) 305-5731

## Contact information

- **Practice address:** 604 SOLAREX CT UNIT 205, FREDERICK, MD 21703-8655
- **Practice address phone:** (301) 305-5731
- **Practice address fax:** (301) 698-8789
- **Mailing address:** 604 SOLAREX CT UNIT 205, FREDERICK, MD 21703-8655
- **Mailing address phone:** (301) 305-5731
- **Mailing address fax:** (301) 698-8789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2023
- **Last updated:** 10/26/2023