# OLIVE TREE 1CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olive Tree 1 Care of Maryland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457101693
- **Authorized official:** JAVON CORY OLIVER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (202) 340-1953

## Contact information

- **Practice address:** 8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
- **Practice address phone:** (202) 340-1953
- **Mailing address:** 8418 THORNBERRY DR E, UPPER MARLBORO, MD 20772-5061
- **Mailing address phone:** (202) 340-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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