Organization
FAMILY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO WILFRIDO JAYA CSC-AD (OFFICE MANAGER/COUNSELOR)
(301) 963-7222
Entity
Organization
Contact information
Practice address
3415 HAMILTON ST STE 9, W HYATTSVILLE, MD 20782-3953
(301) 779-2461
(301) 779-6095
Mailing address
6 MONTGOMERY VILLAGE AVE STE 400, GAITHERSBURG, MD 20879-3548
(301) 963-7222
(301) 963-2616
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316126121
NPI
MD
Enumeration date
12/23/2020
Last updated
12/23/2020
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