| Diasporic Healing Llc | |
|
6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 | |
| (202) 929-4286 | |
| Not Available |
| Full Name | Diasporic Healing Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6710 Oxon Hill Rd Ste 210, Oxon Hill, Maryland |
| Authorized Official Name and Position | Gabrielle Jackson (OWNER) |
| Authorized Official Contact | 2029294286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diasporic Healing Llc 6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 Ph: (202) 929-4286 | Diasporic Healing Llc 6710 Oxon Hill Rd Ste 210 Oxon Hill MD 20745-1124 Ph: (202) 929-4286 |
| NPI Number | 1326669458 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326669458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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