Organization
COMPASSION COMMUNITY SERVICES, INC
Active
Other names
NONE, N/A
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD KIBANG (CEO)
(240) 413-1428
Entity
Organization
Contact information
Practice address
963 RUSSELL AVE STE D963, GAITHERSBURG, MD 20879-3287
(240) 413-1428
(240) 386-1197
Mailing address
963 RUSSELL AVE STE D, GAITHERSBURG, MD 20879-3287
(240) 413-1428
(240) 386-1197
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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