Organization
GREENBROOK TMS SOUTHERN MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EGAN PRATT (REGIONAL MANAGER)
(301) 801-1472
Entity
Organization
Contact information
Practice address
3825 LEONARDTOWN RD STE 8, WALDORF, MD 20601-3693
(301) 710-1598
Mailing address
3825 LEONARDTOWN RD STE 8, WALDORF, MD 20601-3693
(301) 710-1598
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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