Organization
BISON THERAPEUTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAMARA CHAM LCSW-C (PRESIDENT)
(240) 676-1239
Entity
Organization
Contact information
Practice address
518 WILSON BRIDGE DR APT C2, OXON HILL, MD 20745-1881
(240) 676-1239
Mailing address
518 WILSON BRIDGE DR APT C2, OXON HILL, MD 20745-1881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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