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Organization

GREENLIFE BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADELINE AZONG (OWNER)
(443) 680-3660
Entity
Organization

Contact information

Practice address
1603 SUN HIGH TER, SEVERN, MD 21144-1622
(443) 680-3660
Mailing address
1603 SUN HIGH TER, SEVERN, MD 21144-1622
(443) 680-3660

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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