Organization
MARATHON COMMUNITY WELLNESS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON RANDALL (CEO/OWNER)
(443) 273-4570
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE B34 FIRST FLOOR, GWYNN OAK, MD 21207-5173
(443) 273-4570
Mailing address
6340 SECURITY BLVD, SUITE B34, FIRST FLOOR, GWYNN OAK, MD 21207-5173
(443) 273-4570
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
09/11/2021
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