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Organization

GREEN RIDGE BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMINA YOUSUFI MD (OWNER)
(240) 683-6202
Entity
Organization

Contact information

Practice address
1395 PICCARD DR STE 320, ROCKVILLE, MD 20850-4349
(240) 683-6202
(240) 683-6203
Mailing address
1395 PICCARD DR STE 320, ROCKVILLE, MD 20850-4349
(240) 683-6202
(240) 683-6203

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
MD
2084N0400X
Neurology Physician
Primary
D0056459
MD

Other

Enumeration date
08/11/2009
Last updated
11/06/2024
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