Organization
ILG SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY GILMORE LCSW-C (DIRECTOR)
(202) 751-8579
Entity
Organization
Contact information
Practice address
2839 31ST PL NE, WASHINGTON, DC 20018-1603
(202) 751-8579
Mailing address
9466 GEORGIA AVE, SILVER SPRING, MD 20910-1456
(202) 751-8579
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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