Organization
MELWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLIE WHEATLY REID JR. LCSW-C (DIRECTOR OF CLINICAL SERVICES)
(301) 870-6722
Entity
Organization
Contact information
Practice address
12705 COUNTRY LN, WALDORF, MD 20601-3399
(301) 870-6722
Mailing address
12705 COUNTRY LN, WALDORF, MD 20601-3399
(301) 870-6722
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
12188
MD
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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