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Organization
HOLISTIC TRACK INCORPORATED
Active
Organization
HOLISTIC TRACK INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVARIST O OGUGUO PMHNP, DNP (PRESIDENT)
(240) 552-0264
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 108B, OWINGS MILLS, MD 21117-4920
(240) 552-0264
(443) 441-5081
Mailing address
2504 SOMERTON CT, BOWIE, MD 20721-2979
(240) 552-0264
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/28/2021
Last updated
04/30/2021
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