Divine Wellness and Psychiatric Services

NPI #1336945443 in Gwynn Oak, Maryland

Provider Information

NPI Number: 1336945443
Entity Type: Organization
Organization Name: Divine Wellness and Psychiatric Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 20, 2025
Last Updated: Feb 20, 2025

Practice Location

Address: 6340 SECURITY BLVD STE 100
City: Gwynn Oak
State: Maryland
ZIP Code: 21207-5284
Phone: (301) 665-0074

Authorized Official

Name: OLADOYIN OLADAYO ADEKOLA
Title: PRESIDENT
Phone: (301) 665-0662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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