| Anoetus Llc | |
|
173 St. Patrick's Dr. Ste 104 Pmb1011 Waldorf MD 20603-5530 | |
| (240) 925-9000 | |
| Not Available |
| Full Name | Anoetus Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 173 St. Patrick's Dr., Waldorf, Maryland |
| Authorized Official Name and Position | Heike Lasoski (MEMBER) |
| Authorized Official Contact | 2409259000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anoetus Llc 173 St. Patrick's Dr. Ste 104 Pmb 1011 Waldorf MD 20603 Ph: () - | Anoetus Llc 173 St. Patrick's Dr. Ste 104 Pmb1011 Waldorf MD 20603-5530 Ph: (240) 925-9000 |
| NPI Number | 1609360445 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609360445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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