Organization
WIN TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIRAH SMITH (DIRECTOR OF BUSINESS DEVELOPMENT)
(443) 756-9047
Entity
Organization
Contact information
Practice address
10001 DEREKWOOD LN # 201, LANHAM, MD 20706-4804
(301) 552-5425
Mailing address
4640 EDMONDSON AVE, BALTIMORE, MD 21229-1407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366927774
—
MD
Enumeration date
05/11/2022
Last updated
05/11/2022
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