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Organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Organization
COVENANT PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKE ALOBA CRNP-PMH (OWNER)
(240) 565-8797
Entity
Organization
Contact information
Practice address
2607 BOX TREE DR, UPPER MARLBORO, MD 20774-9306
(202) 361-5925
Mailing address
9701 APOLLO DR, SUITE 301, LARGO, MD 20774-4783
(240) 565-8797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189544
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1018212
DC
Other
Enumeration date
02/25/2016
Last updated
03/22/2016
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