| Standard Healthcare Plus Llc | |
|
9135 Piscataway Rd Ste 410 Clinton MD 20735-2555 | |
| (240) 643-1063 | |
| Not Available |
| Full Name | Standard Healthcare Plus Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9135 Piscataway Rd Ste 410, Clinton, Maryland |
| Authorized Official Name and Position | Eric Kowshoh Yenchi (OWNER) |
| Authorized Official Contact | 2406431063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Standard Healthcare Plus Llc 9135 Piscataway Rd Ste 410 Clinton MD 20735-2555 Ph: (240) 643-1063 | Standard Healthcare Plus Llc 9135 Piscataway Rd Ste 410 Clinton MD 20735-2555 Ph: (240) 643-1063 |
| NPI Number | 1114637857 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 09/06/2023 |
| Certification Date | 12/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114637857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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