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Organization
NEW SPRING BEHAVIORAL HEALTH LLC
Active
Organization
NEW SPRING BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWASINA OGUNTOMI PHMNP (OWNER)
(240) 244-0731
Entity
Organization
Contact information
Practice address
6 POST OFFICE RD STE 103, WALDORF, MD 20602-2746
(240) 210-8000
(240) 624-6256
Mailing address
8508 TOPAZ CT, CLINTON, MD 20735-3342
(240) 244-0731
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
09/11/2023
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