Organization
BRAVO PSYCHOLOGICAL GROUP LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC W BRAVO PSY.D. (PSYCHOLOGIST)
(301) 233-5020
Entity
Organization
Contact information
Practice address
656 QUINCE ORCHARD RD, GAITHERSBURG, MD 20878-1409
(301) 233-5020
Mailing address
656 QUINCE ORCHARD RD, GAITHERSBURG, MD 20878-1409
(301) 233-5020
(240) 912-9564
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
05/01/2022
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