Organization
URBAN BEHAVIORAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEE BURROUGHS-GARDNER MD (CEO)
(202) 836-7776
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(202) 836-7776
Mailing address
13515 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-9073
(443) 841-4969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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