Organization
THE HEARTWOOD PROGRAM, LLC
Active
Parent organization
HEALTHY FOUNDATIONS GROUP, LLC
Other names
Heartwood Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHY FOUNDATIONS GROUP, LLC
Authorized official
MR. KURT KOCHES (EXECUTIVE DIRECTOR)
(301) 970-4011
Entity
Organization
Contact information
Practice address
4350 EAST WEST HWY STE 1025, BETHESDA, MD 20814-4520
(301) 970-4099
(301) 970-4098
Mailing address
4350 EAST WEST HWY STE 201, BETHESDA, MD 20814-4492
(301) 970-4099
(301) 970-4098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/02/2017
Last updated
03/14/2023
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