Organization
CHESAPEAKE WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FARBMAN (DIRECTOR OF BILLING)
(949) 301-2863
Entity
Organization
Contact information
Practice address
501 N FREDERICK AVE STE 307-308, GAITHERSBURG, MD 20877-2507
(833) 589-5150
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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