Organization
MONTGOMERY WELLNESS HUB LLC
Active
Parent organization
MONTGOMERY WELLNESS HUB LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY WELLNESS HUB LLC
Authorized official
MOHAMMED KOLAWOLE IBRAHIM (CEO)
(240) 246-7837
Entity
Organization
Contact information
Practice address
6 W WASHINGTON ST STE 200, HAGERSTOWN, MD 21740-4830
(301) 404-7336
Mailing address
951 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3283
(301) 404-7336
(240) 246-7911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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