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Organization
DR. EDEN HEALTHCARE SERVICES LLC
Active
Organization
DR. EDEN HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDEN MULUNEH TAYE DNP (CEO)
(301) 318-1859
Entity
Organization
Contact information
Practice address
8115 FENTON ST STE 203, SILVER SPRING, MD 20910-6701
(301) 318-1859
Mailing address
9002 PENNSYLVANIA AVE, SILVER SPRING, MD 20910-1914
(301) 318-1859
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
11/29/2023
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