Organization · NPI-2

Anoetus LLC

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

NPI number1609360445
StatusActive
Last updated in NPPESAug 5, 2022

Details

NPI
1609360445
Entity type
Organization (NPI-2)
Legal business name
Anoetus LLC
Organization subpart
No
Enumeration date
Jun 15, 2018
Certification date
Aug 5, 2022
Last updated
Aug 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

173 St. Patrick'S Dr.
Ste 104 Pmb1011
Waldorf, MD 20603-5530

Phone 240-925-9000

Mailing address

173 St. Patrick'S Dr.
Ste 104 Pmb 1011
Waldorf, MD 20603

Authorized official

Heike Lasoski
Member
2409259000

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