Healthcare Provider Details

I. General information

NPI: 1033014287
Provider Name (Legal Business Name): BOZARHA BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MERCANTILE LN STE 129-22
LARGO MD
20774-5327
US

IV. Provider business mailing address

1300 MERCANTILE LN STE 129-22
LARGO MD
20774-5327
US

V. Phone/Fax

Practice location:
  • Phone: 240-902-7831
  • Fax: 240-902-7832
Mailing address:
  • Phone: 240-902-7831
  • Fax: 240-902-7832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPHINE ARUVIE
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 240-902-7831