NPI 1104648930
Magnolia Behavior Health Center LLC
Practice location
- Address
- 604 Solarex CT Unit 205, Frederick, MD 21703-8655
- Phone
- (301) 473-0954
Authorised official
- Name
- Julia Shirima
- Title
- Ceo
- Phone
- (301) 473-0954
Registered specialties
Train
Primary
Registry record
- NPI
- 1104648930
- Entity type
- Organization
- NPI issued
- 31 Oct 2024
- Record last updated
- 31 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.