Provider Demographics
NPI:1275923005
Name:ACCESS TO WHOLISTIC AND PRODUCTIC LIVING INSTITUTE INC
Entity Type:Organization
Organization Name:ACCESS TO WHOLISTIC AND PRODUCTIC LIVING INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTYE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUWWAKKIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-264-0878
Mailing Address - Street 1:6315 SEABROOK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2628
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6315 SEABROOK RD STE 102
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2628
Practice Address - Country:US
Practice Address - Phone:240-264-0878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization