Organization
NEW PROVIDENCE HEALTHCARE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIUS DA SILVA - THOMPSON (CFO)
(301) 241-0255
Entity
Organization
Contact information
Practice address
5627 ALLENTOWN ROAD, 100, CAMP SPRINGS, MD 20746-4520
(301) 241-0255
(240) 455-0247
Mailing address
145 FLEET ST # 136, OXON HILL, MD 20745-1548
(301) 241-0255
(240) 455-0247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MH-2431
MD
251S00000X
Community/Behavioral Health Agency
Primary
MH-2432
MD
261QM0850X
Adult Mental Health Clinic/Center
MH-2432
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MH-2432
MD
261QM1300X
Multi-Specialty Clinic/Center
MH-2432
MD
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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