Angelic Community Support Services
Community/Behavioral Health in Laurel, MD. Organization (NPI-2).
NPI number1992494264
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1992494264
- Entity type
- Organization (NPI-2)
- Legal business name
- Angelic Community Support Services
- Organization subpart
- No
- Enumeration date
- May 3, 2023
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
9428 Fens HollowLaurel, MD 20723-5735
Phone 240-406-0073
Mailing address
9428 Fens HollowLaurel, MD 20723-5735
Phone 240-406-0073
Authorized official
Lawrence Ahwireng
Co-Owner
2404060073
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