| Providence House Inc | |
|
4802 Deanwood Dr Capitol Heights MD 20743-1129 | |
| (973) 444-1983 | |
| (443) 584-4022 |
| Full Name | Providence House Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4802 Deanwood Dr, Capitol Heights, Maryland |
| Authorized Official Name and Position | Anthony Jerome Anderson (CEO) |
| Authorized Official Contact | 9734441983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence House Inc 4802 Deanwood Dr Capitol Heights MD 20743-1129 Ph: (973) 444-1983 | Providence House Inc 4802 Deanwood Dr Capitol Heights MD 20743-1129 Ph: (973) 444-1983 |
| NPI Number | 1710614870 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710614870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
First Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4411 Southern Ave, Capitol Heights, MD 20743 Phone: 240-614-6881 | |
Welkin Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Jade Ct, Capitol Heights, MD 20743 Phone: 646-504-8141 | |
Comprehensive Treatment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900 Edgeworth Dr, Suite C, Capitol Heights, MD 20743 Phone: 301-324-3757 Fax: 301-324-3046 | |
Growing Minds Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Thomasson Ct, Capitol Heights, MD 20743 Phone: 510-710-0246 | |
Ise Total Wellness Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 Hampton Overlook, Capitol Heights, MD 20743 Phone: 301-851-9790 | |
Dimensions Healthcare Associates Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4725 Marlboro Pike, Capitol Heights, MD 20743 Phone: 240-719-2438 | |
M&t Healthcare Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9201 Edgeworth Dr Unit 3412, Capitol Heights, MD 20791 Phone: 301-735-6036 |