Organization
BONATEH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIPH NGUNDAM (PRESIDENT)
(240) 398-0992
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 398-0992
(301) 273-1006
Mailing address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(240) 398-0992
(301) 273-1006
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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