Bornfree Wellness Centers of America

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BORNFREE WELLNESS CENTERS OF AMERICA

Practice address

19537 Doctors Dr BLDG 3
Germantown, MD 20874-5262

Phone

(301) 453-5111

Fax

(703) 880-6378

NPI assigned

Oct 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Galaher

Title

Program Sponsor

Phone

(410) 991-5687

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1417409160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR BLDG 3",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "240-654-4001",
            "fax_number": "240-654-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19537 DOCTORS DR BLDG 3",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745262",
            "telephone_number": "301-453-5111",
            "fax_number": "703-880-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNFREE WELLNESS CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "GALAHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "410-991-5687"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417409160",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Oluseyi Bolaji, M.D.
• Mary Jane Booker, MSW
• Briana Boone
• Mya Borda, RBT
• Abby Bordner
• Bruce J Bortnick, M.D.
• Robert S Bosland, D.C.
• Kathryn Rose Bosley, NP
• Kimberly D Bosley, ATC
• Jonathan R Bowles, M.D.

• Substance Abuse Rehabilitation Facility in Germantown, MD
• Providers in Germantown, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.