Organization
GODWINS WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMUEL GODWIN (OWNER)
(443) 629-6920
Entity
Organization
Contact information
Practice address
6 PARK CENTER CT STE 202, OWINGS MILLS, MD 21117-5604
(443) 629-6920
Mailing address
6 PARK CENTER CT STE 202, OWINGS MILLS, MD 21117-5604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221213532
BHA LICENSE
MD
Enumeration date
01/11/2023
Last updated
01/11/2023
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