Organization · NPI-2
Abundant Healthcare Services INC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Greenbelt, MD
NPI number1831759984
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1831759984
- Entity type
- Organization (NPI-2)
- Legal business name
- Abundant Healthcare Services INC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2019
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Abundant Healthcare Services INC (Former Legal Business Name)
Practice location
8955 Edmonston Rd Unit F&HGreenbelt, MD 20770-1006
Phone 301-792-0855 · Fax 301-552-9381
Mailing address
17307 Russet DrBowie, MD 20716-3604
Phone 301-792-0855 · Fax 301-552-9381
Authorized official
Oyesola Omowunmi Akintan-Adaji
Ceo
3017920855
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