| All Dimensions Behavioral Health Llc | |
|
4449 Crain Hwy White Plains MD 20695-3046 | |
| (240) 289-5313 | |
| (240) 427-9454 |
| Full Name | All Dimensions Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4449 Crain Hwy, White Plains, Maryland |
| Authorized Official Name and Position | Rhoda Ndamukong (OWNER) |
| Authorized Official Contact | 3015329242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Dimensions Behavioral Health Llc 4449 Crain Hwy White Plains MD 20695-3046 Ph: (240) 289-5313 | All Dimensions Behavioral Health Llc 4449 Crain Hwy White Plains MD 20695-3046 Ph: (240) 289-5313 |
| NPI Number | 1891438651 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 4082093943 |
|---|---|
| Medicare Enrollment ID | O20220623000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891438651 | NPI | - | NPPES |
| Provider Name | Rhoda Palmira Ndamukong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477017085 PECOS PAC ID: 1052644424 Enrollment ID: I20190618000829 |
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