Organization
MONTGOMERY WELLNESS HUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED KOLAWOLE IBRAHIM (CEO)
(301) 404-7336
Entity
Organization
Contact information
Practice address
951 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3283
(301) 404-7336
Mailing address
951 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3283
(301) 404-7336
(240) 246-7911
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
12/10/2025
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