Cater Wellness & Outreach Center LLC

Key facts

NPI

1053180604

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

CATER WELLNESS & OUTREACH CENTER LLC

Practice address

7225 Hanover Pkwy Ste C
Greenbelt, MD 20770-2024

Phone

(240) 714-0520

NPI assigned

Dec 22, 2023

Organization subpart

No

Authorized official

Name

Audrey Nwaze

Title

Owner

Phone

(240) 714-0520

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2023.

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1053180604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 HANOVER PKWY STE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702024",
            "telephone_number": "240-714-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 HANOVER PKWY STE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702024",
            "telephone_number": "240-714-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATER WELLNESS & OUTREACH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "NWAZE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-714-0520"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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