Organization
OPERATION WARRIOR REFUGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA DEVINE LCPC (THERAPIST)
(240) 298-6680
Entity
Organization
Contact information
Practice address
25420 ROSEDALE MANOR LN, HOLLYWOOD, MD 20636-2925
(301) 880-0531
Mailing address
PO BOX 733, GREAT MILLS, MD 20634-0733
(301) 880-0531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC5662
MD
103G00000X
Clinical Neuropsychologist
Primary
05590
MD
251S00000X
Community/Behavioral Health Agency
LC5662
MD
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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