1st Axium, Llc | |
4041 Powder Mill Rd Ste 300 Beltsville MD 20705-3106 | |
(202) 808-2878 | |
(202) 506-2754 |
Full Name | 1st Axium, Llc |
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Speciality | Community/behavioral Health |
Location | 4041 Powder Mill Rd Ste 300, Beltsville, Maryland |
Authorized Official Name and Position | Gwendolyn Love Kimbrough (CEO) |
Authorized Official Contact | 2028082878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1st Axium, Llc 4041 Powder Mill Rd Ste 300 Beltsville MD 20705-0004 Ph: (202) 808-2878 | 1st Axium, Llc 4041 Powder Mill Rd Ste 300 Beltsville MD 20705-3106 Ph: (202) 808-2878 |
NPI Number | 1346697208 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 11/05/2024 |
Certification Date | 11/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346697208 | NPI | - | NPPES |
018287987 | Medicaid | DC |
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