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Organization
DESTINY LEAGUE
Active
Organization
DESTINY LEAGUE
Active
Parent organization
DESTINY LEAGUE FOUNDATION INC
Other names
Destiny League
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESTINY LEAGUE FOUNDATION INC
Authorized official
OBI HERBERTS (EXECUTIVE DIRECTOR)
(202) 644-6886
Entity
Organization
Contact information
Practice address
8201 CORPORATE DR STE 630, HYATTSVILLE, MD 20785-2371
(410) 213-5494
Mailing address
8201 CORPORATE DR STE 630, HYATTSVILLE, MD 20785-2371
(410) 213-5494
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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