OrganizationEl Roi Behavioral Health And Holistic CareNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7404 Executive Pl Ste 400, Lanham, MD 20706-6228(240) 374-2574PECOS EnrollmentBased on the most recent information from CMS, provider El Roi Behavioral Health And Holistic Care does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1770332405Provider TypeOrganizationFull NameEl Roi Behavioral Health And Holistic CareSubpartNoEnumeration Date5/15/2024Last Updated9/11/2024Contact InformationPractice LocationPractice Address7404 Executive Pl Ste 400, Lanham, MD 20706-6228Phone(240) 374-2574FaxUnlisted FaxMailing LocationMailing Address7404 Executive Pl Ste 400, Lanham, MD 20706-6228PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameAgaruwa, Augustina (Owner)Phone(240) 374-2574Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode261Q00000XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer