| Community Therapeutic Services, Llc | |
|
4409 Forbes Blvd Ste B Lanham MD 20706-4373 | |
| (301) 399-7811 | |
| (301) 358-6455 |
| Full Name | Community Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4409 Forbes Blvd Ste B, Lanham, Maryland |
| Authorized Official Name and Position | Jenita Charmain Griffin (OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 3013997811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Therapeutic Services, Llc 5204 Derby Manor Ln Upper Marlboro MD 20772-2996 Ph: (301) 399-7811 | Community Therapeutic Services, Llc 4409 Forbes Blvd Ste B Lanham MD 20706-4373 Ph: (301) 399-7811 |
| NPI Number | 1861520140 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861520140 | NPI | - | NPPES |
| 409069100 | Medicaid | MD | |
| 523110801 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1507 (Maryland) | Secondary |
| 251S00000X | Community/behavioral Health | 5323 (Maryland) | Primary |
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