Organization
MAGNOLIA BEHAVIOR HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA L SHIRIMA REGISTERED NURSE (CEO)
(301) 305-5731
Entity
Organization
Contact information
Practice address
604 SOLAREX CT UNIT 205, FREDERICK, MD 21703-8655
(240) 919-6062
(301) 698-8789
Mailing address
604 SOLAREX CT UNIT 205, FREDERICK, MD 21703-8655
(240) 919-6062
(301) 698-8789
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
10/26/2023
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