Organization
PUZZLED HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIS HAWKINS (PRESIDENT)
(443) 859-0332
Entity
Organization
Contact information
Practice address
10001 VILLAGE GREEN DR STE B, WOODSTOCK, MD 21163-1148
(443) 859-0332
Mailing address
10001 VILLAGE GREEN DR STE B, WOODSTOCK, MD 21163-1148
(443) 859-0332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/23/2019
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