Family Educational Support Services
Clinic/Center, Adolescent and Children Mental Health in Bowie, MD. Organization (NPI-2).
NPI number1114482247
StatusActive
Last updated in NPPESFeb 3, 2019
Details
- NPI
- 1114482247
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Educational Support Services
- Organization subpart
- No
- Enumeration date
- Feb 3, 2019
- Last updated
- Feb 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
4201 Northview Dr Ste 404Bowie, MD 20716-2664
Phone 301-448-6939
Mailing address
4201 Northview Dr Ste 404Bowie, MD 20716-2664
Phone 301-448-6939
Authorized official
Phyllis Randle
Chief Executive Officer
3014486939
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