Organization
QREATIV MOODZ
Active
Other names
Qreativ Moodz
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN MCMANUS (OWNER)
(240) 300-1781
Entity
Organization
Contact information
Practice address
10606 SOURWOOD AVE, WALDORF, MD 20603-5716
(202) 300-1781
Mailing address
10606 SOURWOOD AVE, WALDORF, MD 20603-5716
(202) 300-1781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
04/13/2023
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