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Organization
COMPASSIONATE WELLNESS CENTER, LLC
Active
Organization
COMPASSIONATE WELLNESS CENTER, LLC
Active
Parent organization
COMPASSIONATE WELLNESS CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPASSIONATE WELLNESS CENTER, LLC
Authorized official
IVAN NGANG ZAMA MD (CEO)
(240) 394-7786
Entity
Organization
Contact information
Practice address
1130 OPAL CT, HAGERSTOWN, MD 21740-5940
(240) 513-6001
Mailing address
10319 WESTLAKE DR STE 193, BETHESDA, MD 20817-6403
(240) 513-6001
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986006100
—
MD
Enumeration date
03/17/2020
Last updated
02/18/2025
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