Organization · NPI-2
M&T Healthcare Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Capitol Heights, MD
NPI number1508621772
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1508621772
- Entity type
- Organization (NPI-2)
- Legal business name
- M&T Healthcare Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 16, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
9201 Edgeworth Dr Unit 3412Capitol Heights, MD 20791-7505
Phone 301-735-6036
Mailing address
9201 Edgeworth Dr Unit 3412Capitol Heights, MD 20791-7505
Phone 301-735-6036
Authorized official
Gladys Tombise Ekema Mosaso
Provider/Owner
3017356036
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