| Rock Creek Foundation For Mental Health Inc | |
|
4355 Nicole Dr Ste E Lanham MD 20706-4349 | |
| (301) 586-0900 | |
| (240) 516-0391 |
| Full Name | Rock Creek Foundation For Mental Health Inc |
|---|---|
| Speciality | Clinic/center - Developmental Disabilities |
| Location | 4355 Nicole Dr Ste E, Lanham, Maryland |
| Authorized Official Name and Position | Theresa Jackson (BILLING COORDINATOR/AM) |
| Authorized Official Contact | 3015860900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Creek Foundation For Mental Health Inc 12200 Tech Rd Ste 330 Silver Spring MD 20904-1983 Ph: (301) 572-6585 | Rock Creek Foundation For Mental Health Inc 4355 Nicole Dr Ste E Lanham MD 20706-4349 Ph: (301) 586-0900 |
| NPI Number | 1386196400 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/03/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386196400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2898 (Maryland) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
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