Organization
GREENWELL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLANDA CAMPBELL (EXECUTIVE DIRECTOR)
(301) 373-9775
Entity
Organization
Contact information
Practice address
25420 ROSEDALE MANOR LN, HOLLYWOOD, MD 20636-2925
(301) 373-9775
Mailing address
PO BOX 198, HOLLYWOOD, MD 20636-0198
(301) 373-9775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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