| Descanso, Inc | |
|
50 W Montgomery Ave Suite 110 Rockville MD 20850-4216 | |
| (240) 643-2728 | |
| (301) 670-2254 |
| Full Name | Descanso, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 50 W Montgomery Ave, Rockville, Maryland |
| Authorized Official Name and Position | Yasmin India Lluveras (DIRECTOR) |
| Authorized Official Contact | 2406432728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Descanso, Inc Po Box 1103 Rockville MD 20849-1103 Ph: (240) 643-2728 | Descanso, Inc 50 W Montgomery Ave Suite 110 Rockville MD 20850-4216 Ph: (240) 643-2728 |
| NPI Number | 1851339808 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851339808 | NPI | - | NPPES |
| 407063100 | Medicaid | MD | |
| 469CDE | Other | MD | BLUE CROSS |
| N076 | Other | DC | BLUE CROSS |
| N0760001 | Other | MD | BLUE CROSS |
| 11517912 | Other | MD | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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