Organization
HALCYON WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE MICHAEL ISAVA PH.D. (EXECUTIVE DIRECTOR)
(541) 554-9777
Entity
Organization
Contact information
Practice address
8229 CLOVERLEAF DRIVE, SUITE 425, MILLERSVILLE, MD 21108-2639
(541) 554-9777
(410) 987-0576
Mailing address
8229 CLOVERLEAF DRIVE, SUITE 425, MILLERSVILLE, MD 21108-2639
(541) 554-9777
(410) 987-0576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
12/05/2016
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