Organization
COLLABORATIVE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH DUANTE DUCKETT (PRESIDENT)
(443) 306-6131
Entity
Organization
Contact information
Practice address
2301 DORSEY RD STE 213, GLEN BURNIE, MD 21061-3275
(443) 306-6131
Mailing address
2301 DORSEY RD STE 213, GLEN BURNIE, MD 21061-3275
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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