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10810 Connecticut Ave Kensington MD 20895-2138 | |
| (301) 816-2424 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10810 Connecticut Ave, Kensington, Maryland |
| Authorized Official Name and Position | Colleen Swinton (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 3012572797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4000 Garden City Dr Hyattsville MD 20785-2418 Ph: (301) 816-2424 | 10810 Connecticut Ave Kensington MD 20895-2138 Ph: (301) 816-2424 |
| NPI Number | 1760294417 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760294417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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