# CAPITAL MULTI HEALTH GROUP, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821648312
- **Authorized official:** JAMES FONGE MBA (DIRECTOR)
- **Authorized official phone:** (202) 361-8012

## Contact information

- **Practice address:** 2411 CROFTON LN STE 4A, CROFTON, MD 21114-1337
- **Practice address phone:** (202) 361-8012
- **Mailing address:** 7776 WILLOW OAK CT, HANOVER, MD 21076-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 09/10/2020