Organization
EVERBLOOM PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNETTE CAMPBELL (PROVIDER)
(301) 537-3642
Entity
Organization
Contact information
Practice address
10542 BLACK PINE LN, WALDORF, MD 20603-6701
(332) 262-9877
Mailing address
10542 BLACK PINE LN, WALDORF, MD 20603-6701
(332) 262-9877
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
04/25/2023
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