Organization
DEMAR BEHAVIORAL HEALTH AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA ATEHAKOH FORMIN (OWNER)
(202) 940-2022
Entity
Organization
Contact information
Practice address
7375 EXECUTIVE PL STE 200, LANHAM, MD 20706-6234
(202) 940-2022
Mailing address
7375 EXECUTIVE PL STE 200, LANHAM, MD 20706-6234
(202) 940-2022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/18/2026
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