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Compassionate Specialty Clinic, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Greenbelt, MD. Organization (NPI-2).

NPI number1639772452
StatusActive
Last updated in NPPESApr 24, 2023

Details

NPI
1639772452
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 codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

7831 Belle Point Dr
Greenbelt, MD 20770-3338

Phone 301-902-0664

Mailing address

10319 Westlake Dr Ste 193
Bethesda, MD 20817-6403

Authorized official

Ivan N Zama
Owner
3019020664

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