Organization
BRILLIANCE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL GORDON (PSYCHOLOGIST)
(301) 852-8177
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(301) 852-8177
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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