| Kp Optimum Care Behavioral Services | |
|
370 Main St Laurel MD 20707-4133 | |
| (301) 641-2284 | |
| Not Available |
| Full Name | Kp Optimum Care Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 370 Main St, Laurel, Maryland |
| Authorized Official Name and Position | Katumu Frances Pettiquoi (CEO) |
| Authorized Official Contact | 3016412284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kp Optimum Care Behavioral Services Po Box 114 Laurel MD 20725-0114 Ph: () - | Kp Optimum Care Behavioral Services 370 Main St Laurel MD 20707-4133 Ph: (301) 641-2284 |
| NPI Number | 1861081002 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861081002 | NPI | - | NPPES |
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