# KIRSTIN CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477237923
- **Authorized official:** STEPHEN FONCHAM (CEO)
- **Authorized official phone:** (240) 354-4444

## Contact information

- **Practice address:** 5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
- **Practice address phone:** (240) 392-2876
- **Practice address fax:** (240) 838-3015
- **Mailing address:** 5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
- **Mailing address phone:** (240) 392-2876
- **Mailing address fax:** (240) 838-3015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 04/02/2025