Organization
RENOVATE MENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS YOUNG PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(301) 828-2350
Entity
Organization
Contact information
Practice address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(301) 828-2350
(301) 828-2350
Mailing address
12410 MILESTONE CENTER DR STE 600, GERMANTOWN, MD 20876-7102
(301) 828-2350
(301) 828-2350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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