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Organization
FAMILY CARE ASSOCIATES
Active
Organization
FAMILY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADY VINOKUR (MANAGER)
(301) 330-0006
Entity
Organization
Contact information
Practice address
702 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2605
(301) 330-0006
(301) 330-0444
Mailing address
702 RUSSELL AVE STE 100, GAITHERSBURG, MD 20877-2605
(301) 330-0006
(301) 330-0444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084N0400X
Neurology Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
07/02/2020
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