| Ivymount Outreach Programs, Inc | |
|
11614 Seven Locks Rd Rockville MD 20854-3261 | |
| (301) 469-0223 | |
| (301) 469-0778 |
| Full Name | Ivymount Outreach Programs, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11614 Seven Locks Rd, Rockville, Maryland |
| Authorized Official Name and Position | Lee-nadine Oppenheim (DIRECTOR OF FINANCE/ADMINISTRATION) |
| Authorized Official Contact | 3014690223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivymount Outreach Programs, Inc 11614 Seven Locks Rd Rockville MD 20854-3261 Ph: (301) 469-0223 | Ivymount Outreach Programs, Inc 11614 Seven Locks Rd Rockville MD 20854-3261 Ph: (301) 469-0223 |
| NPI Number | 1881960912 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881960912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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