Organization
MONTGOMERY WELLNESS HUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED KOLAWOLE IBRAHIM (CEO)
(301) 404-7336
Entity
Organization
Contact information
Practice address
951 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3283
(301) 404-7336
Mailing address
951 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3283
(301) 404-7336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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