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Organization
DEMAR BEHAVIORAL HEALTH AND WELLNESS CLINIC LLC
Active
Organization
DEMAR BEHAVIORAL HEALTH AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA ATEHAKOH FORMIN (OWNER)
(202) 940-2022
Entity
Organization
Contact information
Practice address
7375 EXECUTIVE PL STE 200, LANHAM, MD 20706-6234
(202) 940-2022
Mailing address
7375 EXECUTIVE PL STE 200, LANHAM, MD 20706-6234
(202) 940-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/18/2026
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