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706 E Gude Dr Unit A Rockville MD 20850-8317 | |
| (240) 490-0176 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 706 E Gude Dr Unit A, Rockville, Maryland |
| Authorized Official Name and Position | Habtamu Tigabu (CEO) |
| Authorized Official Contact | 2404900176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13306 Dauphine St Silver Spring MD 20906-5208 Ph: (240) 490-0176 | 706 E Gude Dr Unit A Rockville MD 20850-8317 Ph: (240) 490-0176 |
| NPI Number | 1871142810 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871142810 | NPI | - | NPPES |
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