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Organization
MBI HEALTH SERVICES LLC
Active
Organization
MBI HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWABENA ANDOH (PRINCIPAL)
(202) 388-4300
Entity
Organization
Contact information
Practice address
777 S ALAMEDA ST FL 2, LOS ANGELES, CA 90021-1657
(202) 388-4300
(202) 379-3270
Mailing address
7200 WISCONSIN AVE STE 702, BETHESDA, MD 20814-4891
(202) 388-4300
(202) 379-3270
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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