Organization
Y NOT FAMILIES
Active
Organization
Y NOT FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MCNEIL (CEO)
(301) 461-8357
Entity
Organization
Contact information
Practice address
4680 LIBERTY AVE, VERMILION, OH 44089-3243
(216) 280-2880
Mailing address
6533 BEECHWOOD DR, TEMPLE HILLS, MD 20748-2605
(301) 461-8357
(202) 449-8338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/22/2019
Last updated
05/22/2023
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