Organization
DIVINE WELLNESS AND PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADOYIN ADEKOLA CRNP-PMH (PRESIDENT)
(240) 423-1872
Entity
Organization
Contact information
Practice address
9220 SEWALL AVE, LAUREL, MD 20723-1889
(301) 665-0662
(443) 535-1784
Mailing address
9220 SEWALL AVE, LAUREL, MD 20723-1889
(240) 423-1872
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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