| Grassroots Health Care Inc | |
|
7760 Landover Rd Landover MD 20785-2135 | |
| (305) 619-1199 | |
| Not Available |
| Full Name | Grassroots Health Care Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7760 Landover Rd, Landover, Maryland |
| Authorized Official Name and Position | Folorunso Ibraheem (PROVIDER) |
| Authorized Official Contact | 3057769911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grassroots Health Care Inc 7760 Landover Rd Landover MD 20785-2135 Ph: (305) 619-1199 | Grassroots Health Care Inc 7760 Landover Rd Landover MD 20785-2135 Ph: (305) 619-1199 |
| NPI Number | 1437957974 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437957974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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