| Anew Therapeutic Services Llc | |
|
9500 Arena Dr Ste 460c Largo MD 20774-3755 | |
| (240) 473-2313 | |
| Not Available |
| Full Name | Anew Therapeutic Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9500 Arena Dr Ste 460c, Largo, Maryland |
| Authorized Official Name and Position | Lisa Gordon (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2404732313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Therapeutic Services Llc 137 Westway Apt 102 Greenbelt MD 20770-1991 Ph: (240) 473-2313 | Anew Therapeutic Services Llc 9500 Arena Dr Ste 460c Largo MD 20774-3755 Ph: (240) 473-2313 |
| NPI Number | 1457864290 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457864290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 18124 (Maryland) | Primary |
| 251S00000X | Community/behavioral Health | LC50078379 (District Of Columbia) | Secondary |
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