| Forbush School At Oakmont Upper Division | |
|
610 E Diamond Ave Ste E Gaithersburg MD 20877-5332 | |
| (301) 330-4359 | |
| (301) 330-0533 |
| Full Name | Forbush School At Oakmont Upper Division |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 610 E Diamond Ave Ste E, Gaithersburg, Maryland |
| Authorized Official Name and Position | Bonnie B Katz (VP CORPORATE BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 4109383150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forbush School At Oakmont Upper Division 610 E Diamond Ave Ste E Gaithersburg MD 20877-5332 Ph: (301) 330-4359 | Forbush School At Oakmont Upper Division 610 E Diamond Ave Ste E Gaithersburg MD 20877-5332 Ph: (301) 330-4359 |
| NPI Number | 1629247051 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629247051 | NPI | - | NPPES |
| 414128800 | Medicaid | MD | |
| NUMBER PENDING | Other | MD | ST BOARD OF EDUCATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | PENDING (Maryland) | Primary |
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