| Ifcs | |
|
7501 Forbes Blvd Ste 102 Lanham MD 20706-6201 | |
| (301) 577-7931 | |
| (301) 577-7637 |
| Full Name | Ifcs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7501 Forbes Blvd Ste 102, Lanham, Maryland |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR. ASSISTANT 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 Fifth Floor Boston MA 02210-1218 Ph: (617) 790-4800 | Ifcs 7501 Forbes Blvd Ste 102 Lanham MD 20706-6201 Ph: (301) 577-7931 |
| NPI Number | 1376740480 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376740480 | NPI | - | NPPES |
| 590800101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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