| Connected Communities, Llc | |
|
1802 Brightseat Rd Ste 101 Landover MD 20785-4244 | |
| (240) 765-8512 | |
| Not Available |
| Full Name | Connected Communities, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1802 Brightseat Rd Ste 101, Landover, Maryland |
| Authorized Official Name and Position | Jelani Jackson (CEO) |
| Authorized Official Contact | 2407658512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Communities, Llc 1802 Brightseat Rd Ste 101 Landover MD 20785-4244 Ph: (240) 765-8512 | Connected Communities, Llc 1802 Brightseat Rd Ste 101 Landover MD 20785-4244 Ph: (240) 765-8512 |
| NPI Number | 1720750789 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720750789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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