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Organization
WILLOW REACH BEHAVIOR SERVICES LLC
Active
Organization
WILLOW REACH BEHAVIOR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WHITEHEAD (OWNER)
(301) 615-2111
Entity
Organization
Contact information
Practice address
8901 HARNESS WAY, BOWIE, MD 20715-3345
(301) 615-2111
Mailing address
8901 HARNESS WAY, BOWIE, MD 20715-3345
(301) 615-2111
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/16/2024
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