| Qci Behavioral Health | |
|
9475 Lottsford Rd Suite 250 Largo MD 20774-5357 | |
| (301) 643-3975 | |
| (301) 812-0207 |
| Full Name | Qci Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9475 Lottsford Rd, Largo, Maryland |
| Authorized Official Name and Position | Millie P Richmond (CEO) |
| Authorized Official Contact | 3016433975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qci Behavioral Health Po Box 2525 Waldorf MD 20604-2525 Ph: (301) 643-3975 | Qci Behavioral Health 9475 Lottsford Rd Suite 250 Largo MD 20774-5357 Ph: (301) 643-3975 |
| NPI Number | 1942568035 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942568035 | NPI | - | NPPES |
| 401408100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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