Organization
HOLISTIC TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BUTLER LCSW-CQ (PRESIDENT)
(571) 490-1421
Entity
Organization
Contact information
Practice address
3050 CRAIN HWY STE 200, WALDORF, MD 20601-2822
(571) 490-1421
(571) 490-1421
Mailing address
12301 LOCH CARRON CIR, FORT WASHINGTON, MD 20744-7017
(571) 490-1421
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103795100
—
MD
Enumeration date
06/15/2017
Last updated
06/15/2017
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