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Organization
CAPITAL MULTI HEALTH GROUP, INC
Active
Organization
CAPITAL MULTI HEALTH GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FONGE MBA (DIRECTOR)
(202) 361-8012
Entity
Organization
Contact information
Practice address
2411 CROFTON LN STE 4A, CROFTON, MD 21114-1337
(202) 361-8012
Mailing address
7776 WILLOW OAK CT, HANOVER, MD 21076-2320
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/10/2020
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