| Urban Counseling Institute, Llc | |
|
4400 Stamp Road Suite #208 Temple Hills MD 20748-1242 | |
| (301) 278-7956 | |
| (301) 909-0916 |
| Full Name | Urban Counseling Institute, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4400 Stamp Road, Temple Hills, Maryland |
| Authorized Official Name and Position | Steven Tillman (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 3012787956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Counseling Institute, Llc 4400 Stamp Road Suite #208 Temple Hills MD 20748-1242 Ph: (301) 278-7956 | Urban Counseling Institute, Llc 4400 Stamp Road Suite #208 Temple Hills MD 20748-1242 Ph: (301) 278-7956 |
| NPI Number | 1154637999 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154637999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ADD13749 (District Of Columbia) | Primary |
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