Organization
ETW THERAPEUTIC & HOLISTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WHITAKER PHD, LCSW-C, LICSW (PRESIDENT/CEO)
(202) 743-5660
Entity
Organization
Contact information
Practice address
7305 BALTIMORE AVE # A101, COLLEGE PARK, MD 20740-3234
(202) 743-5660
Mailing address
7206 SHOCKLEY CT, FORT WASHINGTON, MD 20744-1711
(202) 743-5660
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
07/28/2021
Last updated
11/07/2024
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