Provider Demographics
NPI:1265272710
Name:PEACE WELLNESS CENTER INC
Entity type:Organization
Organization Name:PEACE WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-461-4873
Mailing Address - Street 1:4714 POWDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1931
Mailing Address - Country:US
Mailing Address - Phone:240-461-4873
Mailing Address - Fax:301-937-4598
Practice Address - Street 1:4714 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1931
Practice Address - Country:US
Practice Address - Phone:240-461-4873
Practice Address - Fax:301-937-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)