| Carmon Complete Foundation | |
|
1158 Booker Dr Capitol Heights MD 20743-1838 | |
| (202) 705-4459 | |
| Not Available |
| Full Name | Carmon Complete Foundation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1158 Booker Dr, Capitol Heights, Maryland |
| Authorized Official Name and Position | Dwight Carmon (CEO) |
| Authorized Official Contact | 2027054459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmon Complete Foundation 1158 Booker Dr Capitol Heights MD 20743-1838 Ph: (202) 705-4459 | Carmon Complete Foundation 1158 Booker Dr Capitol Heights MD 20743-1838 Ph: (202) 705-4459 |
| NPI Number | 1578393575 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578393575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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