CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS NPI 1033997705

NPI Information

  • NPI: 1033997705
  • Provider Name: CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2139 ESPEY CT STE 2
    CROFTON, MD
    ZIP 21114
  • Phone: (202) 230-2374

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NPI Details

CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS is a mental health (including community mental health center) clinic center in Crofton, MD. CONNECTED COMMUNITIES FOR BEHAVIORAL WELLNESS NPI is 1033997705. The provider is registered as an organization entity type.

The provider's business location address is:

2139 ESPEY CT STE 2
CROFTON, MD
ZIP 21114-446
Phone: (202) 230-2374

The provider's authorized official is Robert Frasier .
The authorized official title is Owner and has the following contact phone number (202) 230-2374.

The enumeration date for this NPI number is 9/15/2023 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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