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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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