Provider Demographics
NPI:1558971135
Name:UBUNTU CENTER FOR WELLNESS
Entity type:Organization
Organization Name:UBUNTU CENTER FOR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTOINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:TROWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:202-306-3732
Mailing Address - Street 1:7701 AREHART DR APT 1316
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4163
Mailing Address - Country:US
Mailing Address - Phone:202-306-3732
Mailing Address - Fax:
Practice Address - Street 1:7701 AREHART DR APT 1316
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4163
Practice Address - Country:US
Practice Address - Phone:202-306-3732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)