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4221 Forbes Blvd Ste 120 Lanham MD 20706-4437 | |
| (240) 764-5133 | |
| (240) 764-7477 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4221 Forbes Blvd Ste 120, Lanham, Maryland |
| Authorized Official Name and Position | Emmanuel Olufemi Owooje (PRESIDENT) |
| Authorized Official Contact | 2407645133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4221 Forbes Blvd Ste 120 Lanham MD 20706-4437 Ph: (240) 764-5133 | 4221 Forbes Blvd Ste 120 Lanham MD 20706-4437 Ph: (240) 764-5133 |
| NPI Number | 1265954226 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265954226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Diversified Treatment Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10104 Senate Dr, Suite 228, Lanham, MD 20706 Phone: 301-577-4920 Fax: 301-577-4940 | |
The One World Center For Autism, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7401 Forbes Blvd Ste A, Lanham, MD 20706 Phone: 301-618-8395 Fax: 301-618-8396 | |
Grace Inspire Behavioral Health Care Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9103 Woodmore Center Dr # 412, Lanham, MD 20706 Phone: 240-361-9242 Fax: 240-361-9255 | |
You First Health Systems, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4325 Forbes Blvd Ste E, Lanham, MD 20706 Phone: 301-329-0177 | |
Interdynamics, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Forbes Blvd, Lanham, MD 20706 Phone: 301-306-4590 Fax: 301-306-4591 | |
Affiliated Sante Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 Nicole Dr, Lanham, MD 20706 Phone: 301-429-2171 |