First Health Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Capitol Heights, MD. Organization (NPI-2).
NPI number1043964885
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1043964885
- Entity type
- Organization (NPI-2)
- Legal business name
- First Health Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2022
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- First Health Services (Other Name)
Practice location
4411 Southern AveCapitol Heights, MD 20743-5639
Phone 240-615-6881
Mailing address
354 Montecristo CtSevern, MD 21144-3440
Phone 240-615-6881
Authorized official
Stanislus Ebai Eban
Ceo
2406156881
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