Organization
HOLISTIC TELEPSYCH & MED MGT. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS CHRISTOPHER WILSON PSYCH NP (PSYCHIATRIC NURSE PRACTITIONER)
(301) 741-2232
Entity
Organization
Contact information
Practice address
8306 LARCHWOOD ST, NEW CARROLLTON, MD 20784-3409
(301) 741-2232
Mailing address
8306 LARCHWOOD ST, NEW CARROLLTON, MD 20784-3409
(301) 741-2232
(301) 459-4252
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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