| My Covenant Place Behavioral Health | |
|
9750 Apollo Drive Suite B Largo MD 20774-2077 | |
| (301) 577-7307 | |
| (301) 476-0076 |
| Full Name | My Covenant Place Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9750 Apollo Drive, Largo, Maryland |
| Authorized Official Name and Position | Latisha Carter (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3015777307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Covenant Place Behavioral Health 10630 Little Patuxent Pkwy Ste 314d Columbia MD 21044-6216 Ph: (410) 200-9290 | My Covenant Place Behavioral Health 9750 Apollo Drive Suite B Largo MD 20774-2077 Ph: (301) 577-7307 |
| NPI Number | 1326704073 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326704073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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