| Ifcs | |
|
200 Kent Ave Suite 100 La Plata MD 20646-3753 | |
| (301) 934-5607 | |
| Not Available |
| Full Name | Ifcs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Kent Ave, La Plata, Maryland |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR. ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ifcs 313 Congress St 5th Floor Boston MA 02210-1218 Ph: (617) 790-4800 | Ifcs 200 Kent Ave Suite 100 La Plata MD 20646-3753 Ph: (301) 934-5607 |
| NPI Number | 1932579919 |
|---|---|
| Provider Enumeration Date | 10/02/2015 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932579919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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