Vesta, Inc. | |
3900 Forestville Rd Forestville MD 20747 | |
(240) 296-6060 | |
(301) 967-0275 |
Full Name | Vesta, Inc. |
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Speciality | Community/behavioral Health |
Location | 3900 Forestville Rd, Forestville, Maryland |
Authorized Official Name and Position | Jignesh Dalal (CEO) |
Authorized Official Contact | 2402966099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vesta, Inc. 9301 Annapolis Rd Suite 300 Lanham MD 20706-3125 Ph: (240) 296-5848 | Vesta, Inc. 3900 Forestville Rd Forestville MD 20747 Ph: (240) 296-6060 |
NPI Number | 1548471022 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 08/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548471022 | NPI | - | NPPES |
589121300 | Medicaid | MD | |
741693 | Other | DC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 14369 (Maryland) | Primary |
Vesta, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Forestville Rd, Forestville, MD 20747 Phone: 240-296-6060 | |
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