MEDICARE: HAJA BEHAVIORAL AND MEDICAL HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1275478588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAJA BEHAVIORAL AND MEDICAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	9409 STREAM VALLEY LN
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-1924
Country	:	US
Telephone Number	:	240-475-4161
Fax Number	:

Provider Business Practice Location Address
First Line	:	9409 STREAM VALLEY LN
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-1924
Country	:	US
Telephone Number	:	240-475-4161
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YATA BAZZIE
Credential	:
Telephone Number	:	240-475-4161

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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