Organization
PRINCEWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIYI ABAYOMI OYEBANJO-GEORGE (PRESIDENT)
(240) 535-5080
Entity
Organization
Contact information
Practice address
507 JACQUE CT, BOWIE, MD 20721-7241
(240) 535-5080
Mailing address
507 JACQUE CT, BOWIE, MD 20721-7241
(240) 535-5080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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