Organization
KIRSTIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN FONCHAM MBA (CEO/FOUNDER/PRESIDENT)
(240) 392-2876
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Mailing address
5801 ALLENTOWN RD STE 310&311, CAMP SPRINGS, MD 20746-4563
(240) 392-2876
(240) 838-3015
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
04/02/2025
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