Organization · NPI-2

Asdo Behavioral Health

Clinic/Center, Mental Health (Including Community Mental Health Center) · Waldorf, MD

NPI number1548879505

StatusActive

Last updated in NPPESFeb 8, 2021

Details

NPI: 1548879505
Entity type: Organization (NPI-2)
Legal business name: Asdo Behavioral Health
Organization subpart: No
Enumeration date: Jul 27, 2020
Certification date: Feb 8, 2021
Last updated: Feb 8, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231

Phone 301-263-3786 · Fax 301-263-3804

Mailing address

6208 Erland Way
Lanham, MD 20706-2480

Phone 301-263-3786 · Fax 301-263-3804

Other practice locations

6208 Erland Way
Lanham, MD 20706-2480

Phone 012-633-7863 · Fax 301-263-3804

Authorized official

Ijeoma Emeka
President
2404819223

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