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1301 Piccard Dr Rockville MD 20850-4320 | |
| (240) 777-4190 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1301 Piccard Dr, Rockville, Maryland |
| Authorized Official Name and Position | Jameelah Johnson (MANAGER) |
| Authorized Official Contact | 2407231121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
401 Hungerford Dr Fl 6 Rockville MD 20850-4154 Ph: (240) 777-4520 | 1301 Piccard Dr Rockville MD 20850-4320 Ph: (240) 777-4190 |
| NPI Number | 1639696438 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639696438 | NPI | - | NPPES |
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