Organization
BORNFREE WELLNESS CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GALAHER (PROGRAM SPONSOR)
(410) 991-5687
Entity
Organization
Contact information
Practice address
19537 DOCTORS DR BLDG 3, GERMANTOWN, MD 20874-5262
(301) 453-5111
(703) 880-6378
Mailing address
19537 DOCTORS DR BLDG 3, GERMANTOWN, MD 20874-5262
(240) 654-4001
(240) 654-4190
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417409160
—
MD
Enumeration date
10/28/2016
Last updated
04/25/2024
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