Organization
GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN BOLLERS LCSW-C (OWNER)
(240) 731-0457
Entity
Organization
Contact information
Practice address
604 S FREDERICK AVE, 211, GAITHERSBURG, MD 20877-1275
(240) 731-0457
Mailing address
604 S FREDERICK AVE, 211, GAITHERSBURG, MD 20877-1275
(240) 731-0457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15529
MD
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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