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General NPI Number Information
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NPI Number | 1831914076
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Entity Type | Organization
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Legal Business Name | RELATIONSHIP RESILIENCE CENTER
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 7130 MINSTREL WAY STE 125
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City | COLUMBIA
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State | MD
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Zip | 21045-5329
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Country | US
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Telephone | 443-927-7797
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Fax |
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Provider Business Mailing Address
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Address Line | 12171 CLARKSVILLE PIKE # 911
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City | CLARKSVILLE
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State | MD
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Zip | 21029-9904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARISSA JOSIAH
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Credential |
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Telephone | 240-636-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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