# NEW SPRING BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720600059
- **Authorized official:** MR. OLUWASINA OGUNTOMI PHMNP (OWNER)
- **Authorized official phone:** (240) 244-0731

## Contact information

- **Practice address:** 6 POST OFFICE RD STE 103, WALDORF, MD 20602-2746
- **Practice address phone:** (240) 210-8000
- **Practice address fax:** (240) 624-6256
- **Mailing address:** 8508 TOPAZ CT, CLINTON, MD 20735-3342
- **Mailing address phone:** (240) 244-0731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2020
- **Last updated:** 09/11/2023