Organization
DIVINE WELLNESS AND PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADOYIN OLADAYO ADEKOLA (PRESIDENT)
(301) 665-0662
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100, GWYNN OAK, MD 21207-5284
(301) 665-0074
(301) 637-1706
Mailing address
9220 SEWALL AVE, LAUREL, MD 20723-1889
(301) 665-0074
(301) 637-1706
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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