| Grace Inspire Behavioral Health Care Llc | |
|
9103 Woodmore Center Dr # 412 Lanham MD 20706-1653 | |
| (240) 361-9242 | |
| (240) 361-9255 |
| Full Name | Grace Inspire Behavioral Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9103 Woodmore Center Dr # 412, Lanham, Maryland |
| Authorized Official Name and Position | Maria Harrison-nwachukwa (PRESIDENT) |
| Authorized Official Contact | 2403619242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Inspire Behavioral Health Care Llc 9103 Woodmore Center Dr # 412 Lanham MD 20706-1653 Ph: (240) 361-9242 | Grace Inspire Behavioral Health Care Llc 9103 Woodmore Center Dr # 412 Lanham MD 20706-1653 Ph: (240) 361-9242 |
| NPI Number | 1003401639 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 2567879182 |
|---|---|
| Medicare Enrollment ID | O20210329000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003401639 | NPI | - | NPPES |
| Provider Name | Maria Harrison-nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477014538 PECOS PAC ID: 7618208687 Enrollment ID: I20191210000444 |
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