| Diamond Behavioral Services Llc | |
|
516 Hill Rd Hyattsville MD 20785-4617 | |
| (202) 390-4129 | |
| Not Available |
| Full Name | Diamond Behavioral Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 516 Hill Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Chinyere Adibe (PROVIDER) |
| Authorized Official Contact | 2023904129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Behavioral Services Llc 10451 Mill Run Cir Ste 415 Owings Mills MD 21117-5577 Ph: (202) 390-4129 | Diamond Behavioral Services Llc 516 Hill Rd Hyattsville MD 20785-4617 Ph: (202) 390-4129 |
| NPI Number | 1104563824 |
|---|---|
| Provider Enumeration Date | 05/14/2022 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 9638559610 |
|---|---|
| Medicare Enrollment ID | O20220708000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104563824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chinyere Ogechi Adibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770840480 PECOS PAC ID: 0547640526 Enrollment ID: I20220708000045 |
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