Organization
INTEGRATED MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE NGUH NP (OWNER)
(240) 260-3827
Entity
Organization
Contact information
Practice address
7404 EXECUTIVE PL STE 100, LANHAM, MD 20706-6237
(240) 260-3827
(240) 260-3830
Mailing address
3613 CELESTE BRUCE CIR, BOWIE, MD 20721-2287
(240) 260-3827
(240) 260-3830
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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