BLUE MOON BEHAVIORAL HEALTH, PLLC

NPI # 

Practice Address:

199 E Montgomery Ave Ste 100

Rockville, MD, 20850-2361

Practice Phone:

301-719-2913

Practice Fax:

301-867-5278

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X