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Organization
OLIVE TREE 1CARE
Active
Organization
OLIVE TREE 1CARE
Active
Other names
Olive Tree 1 Care of Maryland
Organization subpart
No
Provider details
NPI number
Authorized official
JAVON CORY OLIVER (EXECUTIVE DIRECTOR)
(202) 340-1953
Entity
Organization
Contact information
Practice address
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
(202) 340-1953
Mailing address
8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
(202) 340-1953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC0200X
Critical Care Medicine Registered Nurse
—
NULL
163WC0200X
Critical Care Medicine Registered Nurse
—
—
Other
Enumeration date
03/22/2024
Last updated
03/28/2025
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