| Elevation & Enrichment Services | |
|
3900 Penn Belt Pl District Heights MD 20747-4734 | |
| (301) 276-5312 | |
| Not Available |
| Full Name | Elevation & Enrichment Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3900 Penn Belt Pl, District Heights, Maryland |
| Authorized Official Name and Position | Darrell Lewis Coleman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3012765312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation & Enrichment Services 3900 Penn Belt Pl District Heights MD 20747-4734 Ph: (301) 276-5312 | Elevation & Enrichment Services 3900 Penn Belt Pl District Heights MD 20747-4734 Ph: (301) 276-5312 |
| NPI Number | 1982023586 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 09/16/2021 |
| Certification Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982023586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 19378 (Maryland) | Primary |
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