| Institute For Behavioral Change, Inc. | |
|
2670 Crain Hwy Ste 205 Waldorf MD 20601-2816 | |
| (301) 818-0092 | |
| (301) 818-0110 |
| Full Name | Institute For Behavioral Change, Inc. |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2670 Crain Hwy Ste 205, Waldorf, Maryland |
| Authorized Official Name and Position | Howard Mabry (CEO) |
| Authorized Official Contact | 3018180110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Behavioral Change, Inc. 2670 Crain Hwy Ste 205 Waldorf MD 20601-2816 Ph: (301) 818-0092 | Institute For Behavioral Change, Inc. 2670 Crain Hwy Ste 205 Waldorf MD 20601-2816 Ph: (301) 818-0092 |
| NPI Number | 1124298484 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124298484 | NPI | - | NPPES |
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