Guide Independence Prp - Prince George's | |
5508 Karen Elaine Dr 824 New Carrollton MD 20784-4131 | |
(301) 459-8220 | |
(301) 577-1756 |
Full Name | Guide Independence Prp - Prince George's |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 5508 Karen Elaine Dr, New Carrollton, Maryland |
Authorized Official Name and Position | Scott K. Birdsong (EXECUTIVE DIRECTOR & PRESIDENT) |
Authorized Official Contact | 3015493602 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Guide Independence Prp - Prince George's 8643 Cherry Ln Laurel MD 20707-6200 Ph: (301) 549-3602 | Guide Independence Prp - Prince George's 5508 Karen Elaine Dr 824 New Carrollton MD 20784-4131 Ph: (301) 459-8220 |
NPI Number | 1437273372 |
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Provider Enumeration Date | 03/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437273372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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