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Organization
ENOVED CO
Active
Organization
ENOVED CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONE CLARICE WILLIAMS (COO)
(240) 417-0586
Entity
Organization
Contact information
Practice address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(202) 845-4490
Mailing address
2670 CRAIN HWY STE 205, WALDORF, MD 20601-2816
(202) 845-4490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QC1500X
Community Health 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
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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