Organization
ADVANTIA MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GLASS MD (CMO)
(631) 496-6120
Entity
Organization
Contact information
Practice address
1400 FOREST GLEN RD STE 500, SILVER SPRING, MD 20910-1467
(301) 273-6611
Mailing address
1525 WILSON BLVD STE 540, ARLINGTON, VA 22209-2444
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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