Organization
MAJ COMPREHENSIVE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY W TARAWALIE (PRESIDENT)
(240) 751-4814
Entity
Organization
Contact information
Practice address
9841 WASHINGTONIAN BLVD STE 200, GAITHERSBURG, MD 20878-7350
(240) 751-4814
Mailing address
9841 WASHINGTONIAN BLVD STE 200, GAITHERSBURG, MD 20878-7350
(240) 751-4814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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