Organization
SOLACE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLULOPE OGUNTOMI MSN, CRNP (OWNER)
(301) 213-1282
Entity
Organization
Contact information
Practice address
6 POST OFFICE RD STE 103, WALDORF, MD 20602-2746
(301) 213-1282
Mailing address
12308 MARKBY CT, UPPER MARLBORO, MD 20774-5647
(301) 213-1282
(240) 624-6256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
10/21/2024
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