MAGNOLIA BEHAVIOR HEALTH CENTER LLC; NPI #1104648930

Contact Information

MAGNOLIA BEHAVIOR HEALTH CENTER LLC

604 SOLAREX CT UNIT 205
FREDERICK, MD 21703-8655

Phone: 301-473-0954
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Train	347D00000X

Indicates primary specialty

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NPI Profile & details for MAGNOLIA BEHAVIOR HEALTH CENTER LLC

NPI #	`1104648930`
LBN Legal business name	MAGNOLIA BEHAVIOR HEALTH CENTER LLC
Authorized official	JULIA SHIRIMA - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/31/2024
Last updated	10/31/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MAGNOLIA BEHAVIOR HEALTH CENTER LLC

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NPI Profile & details for MAGNOLIA BEHAVIOR HEALTH CENTER LLC

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