Organization
BLESSED VINE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BUXTON (OWNER)
(240) 725-4037
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 725-4037
Mailing address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(240) 725-4037
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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