Organization · NPI-2

K&I Healthcare Services

Clinic/Center, Rehabilitation, Substance Use Disorder · Waldorf, MD

NPI number1265216576
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1265216576
Entity type
Organization (NPI-2)
Legal business name
K&I Healthcare Services
Organization subpart
No
Enumeration date
Aug 21, 2023
Certification date
Aug 20, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
324500000X Substance Abuse Rehabilitation Facility––

Practice location

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708

Phone 240-419-3803 · Fax 240-419-2931

Mailing address

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708

Other practice locations

4301 Garden City Dr Ste 303
Landover, MD 20785-6105

Phone 240-667-1679 · Fax 240-667-1712

Authorized official

Ikechukwu Obiora
Ceo
2406671679

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