| Transformation Healthcare Inc | |
|
9139 Red Branch Rd Ste F Columbia MD 21045-2000 | |
| (240) 374-3801 | |
| Not Available |
| Full Name | Transformation Healthcare Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9139 Red Branch Rd Ste F, Columbia, Maryland |
| Authorized Official Name and Position | Calista Chana (CEO) |
| Authorized Official Contact | 4108781085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Healthcare Inc 6801 Oak Hall Ln Unit 6462 Columbia MD 21045-7587 Ph: (240) 374-3801 | Transformation Healthcare Inc 9139 Red Branch Rd Ste F Columbia MD 21045-2000 Ph: (240) 374-3801 |
| NPI Number | 1013624808 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013624808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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