NPI | 1013769058 |
---|---|
Other Name | LCMHEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | ADELINE TAKOH NGUM MANGWA Pmhnp 240-898-7692 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-10-04 |