# QREATIV MOODZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Qreativ Moodz
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508568890
- **Authorized official:** MRS. ROBIN MCMANUS (OWNER)
- **Authorized official phone:** (240) 300-1781

## Contact information

- **Practice address:** 10606 SOURWOOD AVE, WALDORF, MD 20603-5716
- **Practice address phone:** (202) 300-1781
- **Mailing address:** 10606 SOURWOOD AVE, WALDORF, MD 20603-5716
- **Mailing address phone:** (202) 300-1781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 04/13/2023