Organization
HOLISTIC PSYCHIATRY AND MEDICAL CENTER LLC
Active
Organization
HOLISTIC PSYCHIATRY AND MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS CUDJOE OWUSU PMHNP, FNP (OWNER)
(571) 315-3313
Entity
Organization
Contact information
Practice address
556 GARRISONVILLE RD STE 210, STAFFORD, VA 22554-7819
(301) 917-5808
(571) 774-4123
Mailing address
214 DETERMINATION DR, STAFFORD, VA 22554-3366
(301) 917-5808
(571) 774-4123
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
12/05/2023
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