Organization
HOLYSTIK BEHAVIORAH HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP OSEGHALE (PRESIDENT)
(301) 219-1046
Entity
Organization
Contact information
Practice address
210 CASTLETON PL, UPPER MARLBORO, MD 20774-1446
(301) 219-1046
Mailing address
210 CASTLETON PL, UPPER MARLBORO, MD 20774-1446
(301) 219-1046
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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