Compassionate Specialty Clinic, LLC
Community/Behavioral Health in Greenbelt, MD. Organization (NPI-2).
NPI number1548863368
StatusActive
Last updated in NPPESApr 24, 2023
Details
- NPI
- 1548863368
- Entity type
- Organization (NPI-2)
- Legal business name
- Compassionate Specialty Clinic, LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 17, 2020
- Certification date
- Apr 24, 2023
- Last updated
- Apr 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
7831 Belle Point DrGreenbelt, MD 20770-3338
Phone 301-902-0664
Mailing address
10319 Westlake Dr Ste 193Bethesda, MD 20817-6403
Authorized official
Ivan N Zama
Owner
3019020664
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