| Affect Optimum Behavioral Health, Llc | |
|
1818 New York Ave Ne Ste 215 Washington DC 20002-1849 | |
| (301) 332-7222 | |
| Not Available |
| Full Name | Affect Optimum Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1818 New York Ave Ne Ste 215, Washington, District Of Columbia |
| Authorized Official Name and Position | Ngozi Maryann Okudoh (PRESIDENT) |
| Authorized Official Contact | 3013327222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affect Optimum Behavioral Health, Llc 1818 New York Ave Ne Ste 215 Washington DC 20002-1849 Ph: (301) 332-7222 | Affect Optimum Behavioral Health, Llc 1818 New York Ave Ne Ste 215 Washington DC 20002-1849 Ph: (301) 332-7222 |
| NPI Number | 1841840733 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 0749616720 |
|---|---|
| Medicare Enrollment ID | O20200211001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841840733 | NPI | - | NPPES |
| Provider Name | Ngozi M Okudoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588118095 PECOS PAC ID: 3072855055 Enrollment ID: I20200211002457 |
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