Family Care Associates

Clinic/Center, Primary Care in Gaithersburg, MD. Organization (NPI-2).

NPI number1003151291

StatusActive

Last updated in NPPESJul 2, 2020

Details

NPI: 1003151291
Entity type: Organization (NPI-2)
Legal business name: Family Care Associates
Organization subpart: No
Enumeration date: Nov 29, 2012
Certification date: Jul 2, 2020
Last updated: Jul 2, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2300X	Clinic/Center, Primary Care	–	–	Yes
101YP2500X	Counselor, Professional	–	–
1041C0700X	Social Worker, Clinical	–	–
101YM0800X	Counselor, Mental Health	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
2084P0804X	Psychiatry & Neurology, Child & Adolescent Psychiatry	–	–

Practice location

702 Russell Ave Ste 100
Gaithersburg, MD 20877-2605

Phone 301-330-0006 · Fax 301-330-0444

Mailing address

702 Russell Ave Ste 100
Gaithersburg, MD 20877-2605

Phone 301-330-0006 · Fax 301-330-0444

Authorized official

Gennady Vinokur
Manager
3013300006

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