| Kimbrough Ambulatory Care Center | |
|
2480 Llewellyn Ave Fort Meade MD 20755-5800 | |
| (301) 677-8586 | |
| Not Available |
| Full Name | Kimbrough Ambulatory Care Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2480 Llewellyn Ave, Fort Meade, Maryland |
| Authorized Official Name and Position | Nahida Hadeesh (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3016778586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbrough Ambulatory Care Center 2480 Llewellyn Ave Fort Meade MD 20755-5800 Ph: (301) 677-8586 | Kimbrough Ambulatory Care Center 2480 Llewellyn Ave Fort Meade MD 20755-5800 Ph: (301) 677-8586 |
| NPI Number | 1265596951 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265596951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LC302917 (District Of Columbia) | Primary |