| Imago Center Washington Dc | |
|
10914 Georgia Ave Apt 117 Silver Spring MD 20902 | |
| (434) 466-4004 | |
| Not Available |
| Full Name | Imago Center Washington Dc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10914 Georgia Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Nicole Twaalfhoven (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4344664004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imago Center Washington Dc 1920 G St Nw Washington DC 20006-4303 Ph: () - | Imago Center Washington Dc 10914 Georgia Ave Apt 117 Silver Spring MD 20902 Ph: (434) 466-4004 |
| NPI Number | 1932655669 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932655669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LGP5845 (Maryland) | Primary |
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