| Capital Therapeutic Services, Llcc | |
|
2204 E Marlboro Ave Hyattsville MD 20785-5205 | |
| (240) 432-4030 | |
| Not Available |
| Full Name | Capital Therapeutic Services, Llcc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2204 E Marlboro Ave, Hyattsville, Maryland |
| Authorized Official Name and Position | Larhonda S Gough (CLINICAL MANAGER/CEO) |
| Authorized Official Contact | 2404324030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Therapeutic Services, Llcc 2204 E Marlboro Ave Hyattsville MD 20785-5205 Ph: (240) 432-4030 | Capital Therapeutic Services, Llcc 2204 E Marlboro Ave Hyattsville MD 20785-5205 Ph: (240) 432-4030 |
| NPI Number | 1306387360 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306387360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13108 (Maryland) | Primary |
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