| Breakthrough Community Development Corporation | |
|
5620 Saint Barnabas Rd Ste 200 Oxon Hill MD 20745-3628 | |
| (443) 221-7447 | |
| Not Available |
| Full Name | Breakthrough Community Development Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5620 Saint Barnabas Rd Ste 200, Oxon Hill, Maryland |
| Authorized Official Name and Position | Hawanya T Jerry (BILLER) |
| Authorized Official Contact | 4432217447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Community Development Corporation 1831 Forest Dr Ste G Annapolis MD 21401-4430 Ph: (443) 221-7447 | Breakthrough Community Development Corporation 5620 Saint Barnabas Rd Ste 200 Oxon Hill MD 20745-3628 Ph: (443) 221-7447 |
| NPI Number | 1922765072 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922765072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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