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10001 Derekwood Lane Suite 204 Room 114 Lanham MD 20706 | |
| (888) 789-6861 | |
| (410) 695-2998 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10001 Derekwood Lane, Lanham, Maryland |
| Authorized Official Name and Position | Kimberly Downing (CEO) |
| Authorized Official Contact | 3016131038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2010 Cooper Point Ct Odenton MD 21113-2918 Ph: (301) 613-1038 | 10001 Derekwood Lane Suite 204 Room 114 Lanham MD 20706 Ph: (888) 789-6861 |
| NPI Number | 1033934419 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033934419 | NPI | - | NPPES |
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