Organization
AGNESCARE SERVICE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STECY OLA PMHNP (CEO)
(708) 497-0734
Entity
Organization
Contact information
Practice address
7777 LEESBURG PIKE # 304, FALLS CHURCH, VA 22043-2411
(708) 497-0734
Mailing address
2728 JOHN MILLS RD, ADAMSTOWN, MD 21710-8930
(708) 497-0734
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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